Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.28 / $483.38 / $3,355.09	Facility		$70.28	$483.38	$3,355.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $116.99 / $305.16	Professional		$56.04	$116.99	$305.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.87 / $59.85 / $77.81	Professional		$50.87	$59.85	$77.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.20 / $481.43 / $1,147.82	Facility		$335.20	$481.43	$1,147.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $60.59 / $104.58	Professional		$16.30	$60.59	$104.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.32 / $65.39 / $82.52	Facility		$53.32	$65.39	$82.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.27 / $270.75 / $343.89	Professional		$208.27	$270.75	$343.89
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.11 / $98.11 / $98.11	Facility		$98.11	$98.11	$98.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.73 / $143.43 / $494.63	Professional		$57.73	$143.43	$494.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $88.55 / $636.50 / $2,056.00	Facility		$88.55	$636.50	$2,056.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.99 / $132.62 / $324.62	Professional		$61.99	$132.62	$324.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $185.36 / $231.11 / $326.53	Professional		$185.36	$231.11	$326.53
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $136.09 / $186.46 / $342.75	Professional		$136.09	$186.46	$342.75