Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.21 / $499.12 / $6,363.36	Facility		$82.21	$499.12	$6,363.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.60 / $98.76 / $187.73	Professional		$61.60	$98.76	$187.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.81 / $110.28 / $185.90	Professional		$68.81	$110.28	$185.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.40 / $263.88 / $357.52	Facility		$226.40	$263.88	$357.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.22 / $54.06 / $104.96	Professional		$13.22	$54.06	$104.96
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.83 / $84.82 / $93.32	Facility		$62.83	$84.82	$93.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $122.58 / $132.72	Professional		$102.96	$122.58	$132.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.89 / $103.57 / $169.75	Professional		$67.89	$103.57	$169.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.93 / $272.64 / $4,933.00	Facility		$91.93	$272.64	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.53 / $109.00 / $181.45	Professional		$67.53	$109.00	$181.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $102.47 / $146.41	Professional		$81.79	$102.47	$146.41
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 $107.32 / $127.07 / $177.36	Professional		$107.32	$127.07	$177.36