Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.97 / $137.79 / $2,056.00	Facility		$55.97	$137.79	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.87 / $96.14 / $162.00	Professional		$49.87	$96.14	$162.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.20 / $75.20 / $149.44	Professional		$75.20	$75.20	$149.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.15 / $1,214.72 / $2,861.99	Facility		$903.15	$1,214.72	$2,861.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.74 / $33.76 / $59.16	Professional		$8.74	$33.76	$59.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $41.58 / $51.98 / $63.36	Facility		$41.58	$51.98	$63.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.14 / $107.11 / $185.85	Professional		$84.14	$107.11	$185.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.63 / $114.15 / $261.67	Professional		$50.63	$114.15	$261.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $58.77 / $430.50 / $4,933.00	Facility		$58.77	$430.50	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.98 / $109.36 / $154.85	Professional		$55.98	$109.36	$154.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.10 / $101.32 / $147.23	Professional		$81.10	$101.32	$147.23
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $1,449.00 / $1,844.00	Facility		$717.00	$1,449.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $86.45 / $131.44 / $172.41	Professional		$86.45	$131.44	$172.41