Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.51 / $96.16 / $353.01	Facility		$50.51	$96.16	$353.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $19.78 / $57.60	Professional		$12.02	$19.78	$57.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $13.10 / $15.23	Professional		$9.89	$13.10	$15.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $161.80 / $216.10 / $512.16	Facility		$161.80	$216.10	$512.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.96 / $13.61 / $20.04	Professional		$2.96	$13.61	$20.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.16 / $12.47 / $15.92	Facility		$10.16	$12.47	$15.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $10.16 / $13.21 / $16.42	Professional		$10.16	$13.21	$16.42
Cigna Facility/Professional Facility Modifier Low / Median / High Price $13.02 / $13.02 / $13.02	Facility		$13.02	$13.02	$13.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $23.91 / $50.36	Professional		$11.69	$23.91	$50.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $49.71 / $97.52 / $442.26	Facility		$49.71	$97.52	$442.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.05 / $18.91 / $41.61	Professional		$12.05	$18.91	$41.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.46 / $7.46 / $100.00	Professional		$7.46	$7.46	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $1,450.00 / $2,029.00	Facility		$717.00	$1,450.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $10.99 / $21.85 / $32.45	Professional		$10.99	$21.85	$32.45