Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $94.81 / $435.94	Facility		$64.98	$94.81	$435.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $49.89 / $67.39 / $114.93	Professional		$49.89	$67.39	$114.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.61 / $65.62 / $115.81	Professional		$48.61	$65.62	$115.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $227.82 / $311.41 / $718.15	Facility		$227.82	$311.41	$718.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.53 / $51.23 / $110.55	Professional		$12.53	$51.23	$110.55
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $118.23 / $118.23 / $161.38	Professional	50	$118.23	$118.23	$161.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.19 / $57.96 / $63.52	Facility		$46.19	$57.96	$63.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.80 / $62.10 / $80.73	Professional		$61.80	$62.10	$80.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.15 / $63.68 / $108.51	Professional		$44.15	$63.68	$108.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.12 / $91.92 / $592.41	Facility		$66.12	$91.92	$592.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.59 / $75.84 / $116.10	Professional		$59.59	$75.84	$116.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $67.94 / $92.00	Professional		$55.45	$67.94	$92.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,386.00 / $2,449.00	Facility		$300.00	$1,386.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $67.79 / $83.44 / $107.13	Professional		$67.79	$83.44	$107.13