Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $78.54 / $227.11	Facility		$45.25	$78.54	$227.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $39.06 / $52.39	Professional		$37.15	$39.06	$52.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $19.05 / $33.08 / $119.98	Professional		$19.05	$33.08	$119.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.03 / $63.40 / $111.36	Facility		$44.03	$63.40	$111.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.59 / $42.04 / $56.75	Professional		$28.59	$42.04	$56.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.72 / $47.63 / $140.13	Facility		$35.72	$47.63	$140.13
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.96 / $30.96 / $47.63	Professional		$30.96	$30.96	$47.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.90 / $54.52 / $68.15	Professional		$35.90	$54.52	$68.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.25 / $75.12 / $260.10	Facility		$45.25	$75.12	$260.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.40 / $45.25 / $63.20	Professional		$37.40	$45.25	$63.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $35.49 / $39.44 / $53.24	Professional		$35.49	$39.44	$53.24
United Facility/Professional Professional Modifier Low / Median / High Price $20.00 / $30.48 / $40.29	Professional		$20.00	$30.48	$40.29