Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.47 / $942.73 / $5,245.52	Facility		$89.47	$942.73	$5,245.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.53 / $76.56 / $152.28	Professional		$46.53	$76.56	$152.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $41.01 / $106.58 / $180.89	Professional		$41.01	$106.58	$180.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $976.17 / $1,139.48 / $1,552.29	Facility		$976.17	$1,139.48	$1,552.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.48 / $48.18 / $74.13	Professional		$10.48	$48.18	$74.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $47.80 / $64.53 / $71.00	Facility		$47.80	$64.53	$71.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $122.58 / $129.38	Professional		$102.96	$122.58	$129.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.56 / $82.49 / $164.98	Professional		$52.56	$82.49	$164.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.57 / $820.64 / $5,071.13	Facility		$103.57	$820.64	$5,071.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $82.65 / $158.41	Professional		$56.79	$82.65	$158.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.10 / $100.14 / $150.94	Professional		$81.10	$100.14	$150.94
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,247.00 / $1,844.00	Facility		$464.00	$1,247.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $84.62 / $106.03 / $220.36	Professional		$84.62	$106.03	$220.36