Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.05 / $123.50 / $386.80	Facility		$57.05	$123.50	$386.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.63 / $79.68 / $155.00	Professional		$51.63	$79.68	$155.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.10 / $60.74 / $117.34	Professional		$44.10	$60.74	$117.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.34 / $184.69 / $420.72	Facility		$129.34	$184.69	$420.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.83 / $62.25 / $116.35	Professional		$11.83	$62.25	$116.35
CareSource Facility/Professional Facility Modifier Low / Median / High Price $39.77 / $51.08 / $61.29	Facility		$39.77	$51.08	$61.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.40 / $103.21 / $129.56	Professional		$76.40	$103.21	$129.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $42.36 / $80.31 / $137.32	Professional		$42.36	$80.31	$137.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.07 / $154.60 / $437.35	Facility		$58.07	$154.60	$437.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $91.64 / $146.54	Professional		$54.94	$91.64	$146.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.78 / $144.21	Professional		$81.79	$101.78	$144.21
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,209.00 / $1,844.00	Facility		$300.00	$1,209.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.72 / $101.01 / $143.61	Professional		$85.72	$101.01	$143.61