Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.24 / $2,056.00 / $8,498.25	Facility		$193.24	$2,056.00	$8,498.25
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.28 / $149.47 / $219.94	Professional		$127.28	$149.47	$219.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $139.11 / $160.00 / $208.67	Professional		$139.11	$160.00	$208.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.12 / $43.12 / $134.77	Facility		$43.12	$43.12	$134.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.57 / $128.03 / $247.97	Professional		$35.57	$128.03	$247.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $136.80 / $174.58 / $209.49	Facility		$136.80	$174.58	$209.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.37 / $180.84 / $225.30	Professional		$133.37	$180.84	$225.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $107.74 / $171.68 / $304.70	Professional		$107.74	$171.68	$304.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $154.71 / $2,056.00 / $6,089.51	Facility		$154.71	$2,056.00	$6,089.51
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $137.09 / $164.51 / $245.62	Professional		$137.09	$164.51	$245.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.98 / $173.60 / $249.66	Professional		$135.98	$173.60	$249.66
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.97 / $183.40 / $244.93	Professional		$151.97	$183.40	$244.93