Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.83 / $313.08 / $4,933.00	Facility		$65.83	$313.08	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $75.70 / $157.72	Professional		$36.57	$75.70	$157.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.10 / $56.78 / $111.59	Professional		$39.10	$56.78	$111.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.70 / $140.02 / $187.69	Facility		$94.70	$140.02	$187.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.15 / $30.68 / $56.45	Professional		$8.15	$30.68	$56.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $38.72 / $48.80 / $58.19	Facility		$38.72	$48.80	$58.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $134.43 / $193.26	Professional		$107.68	$134.43	$193.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.94 / $86.68 / $216.96	Professional		$38.94	$86.68	$216.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.80 / $272.38 / $4,933.00	Facility		$85.80	$272.38	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $46.15 / $85.80 / $157.72	Professional		$46.15	$85.80	$157.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $134.78 / $194.24	Professional		$108.27	$134.78	$194.24
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,438.00 / $1,844.00	Facility		$300.00	$1,438.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $117.84 / $170.87	Professional		$91.12	$117.84	$170.87