Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.61 / $313.52 / $457.00	Facility		$96.61	$313.52	$457.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.21 / $82.20 / $143.44	Professional		$58.21	$82.20	$143.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.15 / $83.25 / $115.61	Professional		$56.15	$83.25	$115.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.26 / $399.09 / $913.84	Facility		$273.26	$399.09	$913.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.99 / $66.78 / $110.71	Professional		$11.99	$66.78	$110.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.46 / $69.45 / $83.19	Facility		$55.46	$69.45	$83.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.73 / $100.19 / $125.97	Professional		$74.73	$100.19	$125.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.55 / $84.79 / $144.44	Professional		$56.55	$84.79	$144.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.64 / $334.07 / $457.00	Facility		$81.64	$334.07	$457.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.84 / $90.43 / $136.36	Professional		$73.84	$90.43	$136.36
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 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $80.65 / $97.87 / $133.15	Professional		$80.65	$97.87	$133.15