Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.46 / $69.67 / $254.08	Facility		$39.46	$69.67	$254.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $40.59 / $71.20	Professional		$25.62	$40.59	$71.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $27.75 / $38.90 / $78.36	Professional		$27.75	$38.90	$78.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $78.64 / $112.47 / $255.82	Facility		$78.64	$112.47	$255.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.37 / $45.50 / $69.23	Professional		$7.37	$45.50	$69.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.39 / $34.64 / $41.57	Facility		$27.39	$34.64	$41.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $38.96 / $52.56 / $65.97	Professional		$38.96	$52.56	$65.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.06 / $41.13 / $75.70	Professional		$28.06	$41.13	$75.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.46 / $70.76 / $267.45	Facility		$39.46	$70.76	$267.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.82 / $46.02 / $71.20	Professional		$33.82	$46.02	$71.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $68.01 / $96.85	Professional		$54.68	$68.01	$96.85
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 $40.51 / $48.15 / $66.38	Professional		$40.51	$48.15	$66.38