Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.10 / $119.86 / $2,877.00	Facility		$61.10	$119.86	$2,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $41.75 / $90.78 / $150.22	Professional		$41.75	$90.78	$150.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.57 / $90.57 / $90.57	Professional		$90.57	$90.57	$90.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $399.55 / $468.96 / $635.36	Facility		$399.55	$468.96	$635.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $68.23 / $92.11	Professional		$11.59	$68.23	$92.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.36 / $54.68 / $65.61	Facility		$43.36	$54.68	$65.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $82.87 / $109.81 / $169.37	Professional		$82.87	$109.81	$169.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.38 / $77.77 / $176.19	Professional		$40.38	$77.77	$176.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $47.79 / $128.61 / $4,933.00	Facility		$47.79	$128.61	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.64 / $123.90 / $171.24	Professional		$52.64	$123.90	$171.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.78 / $144.21	Professional		$81.79	$101.78	$144.21
United Facility/Professional Facility Modifier Low / Median / High Price $235.08 / $1,386.00 / $2,029.00	Facility		$235.08	$1,386.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $107.24 / $153.72 / $197.98	Professional		$107.24	$153.72	$197.98