Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.12 / $71.12 / $110.95	Facility		$71.12	$71.12	$110.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.40 / $54.11 / $71.12	Professional		$52.40	$54.11	$71.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.91 / $49.91 / $51.99	Professional		$49.91	$49.91	$51.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $97.75 / $171.68	Facility		$67.56	$97.75	$171.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.07 / $64.81 / $87.49	Professional		$44.07	$64.81	$87.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.15 / $74.86 / $220.22	Facility		$56.15	$74.86	$220.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $48.66 / $48.66 / $74.86	Professional		$48.66	$48.66	$74.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.95 / $85.90 / $107.38	Professional		$48.95	$85.90	$107.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.56 / $71.12 / $130.68	Facility		$67.56	$71.12	$130.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.71 / $74.86 / $91.74	Professional		$53.71	$74.86	$91.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.78 / $61.98 / $83.67	Professional		$55.78	$61.98	$83.67
United Facility/Professional Professional Modifier Low / Median / High Price $31.44 / $55.98 / $62.02	Professional		$31.44	$55.98	$62.02