Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.96 / $464.00 / $2,056.00	Facility		$100.96	$464.00	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $133.28 / $236.41	Professional		$77.56	$133.28	$236.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.85 / $40.20 / $68.25	Professional		$35.85	$40.20	$68.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $689.31 / $1,019.14 / $1,366.13	Facility		$689.31	$1,019.14	$1,366.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.14 / $82.40 / $131.56	Professional		$20.14	$82.40	$131.56
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.45 / $93.54 / $111.77	Facility		$74.45	$93.54	$111.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $176.38 / $221.59 / $314.33	Professional		$176.38	$221.59	$314.33
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.84 / $163.08 / $354.69	Professional		$84.84	$163.08	$354.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.97 / $895.86 / $4,933.00	Facility		$100.97	$895.86	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.31 / $159.36 / $273.33	Professional		$80.31	$159.36	$273.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.76 / $168.40 / $242.50	Professional		$135.76	$168.40	$242.50
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $166.97 / $217.21 / $307.68	Professional		$166.97	$217.21	$307.68