Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.85 / $245.00 / $2,056.00	Facility		$55.85	$245.00	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $55.85 / $84.83	Professional		$27.87	$55.85	$84.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.62 / $25.62 / $50.26	Professional		$25.62	$25.62	$50.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $167.69 / $228.03 / $535.49	Facility		$167.69	$228.03	$535.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.21 / $20.48 / $39.76	Professional		$5.21	$20.48	$39.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.78 / $32.10 / $35.32	Facility		$23.78	$32.10	$35.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $41.77 / $49.73 / $53.11	Professional		$41.77	$49.73	$53.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.86 / $44.14 / $73.61	Professional		$25.86	$44.14	$73.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.24 / $200.33 / $2,056.00	Facility		$56.24	$200.33	$2,056.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.57 / $55.85 / $85.14	Professional		$32.57	$55.85	$85.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $68.34 / $97.88	Professional		$54.90	$68.34	$97.88
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.81 / $71.70 / $91.44	Professional		$50.81	$71.70	$91.44