Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.64 / $72.93 / $226.94	Facility		$42.64	$72.93	$226.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $57.39 / $65.23	Professional		$43.50	$57.39	$65.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.15 / $31.07 / $62.14	Professional		$30.15	$31.07	$62.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $50.41 / $70.30 / $123.47	Facility		$50.41	$70.30	$123.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.61 / $62.14 / $62.14	Professional		$46.61	$62.14	$62.14
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.61 / $62.14 / $158.00	Facility		$46.61	$62.14	$158.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.39 / $40.39 / $62.14	Professional		$40.39	$40.39	$62.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.04 / $71.45 / $89.31	Professional		$38.04	$71.45	$89.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.71 / $78.95 / $226.94	Facility		$45.71	$78.95	$226.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $43.50 / $59.03 / $74.56	Professional		$43.50	$59.03	$74.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.31 / $51.46 / $69.47	Professional		$46.31	$51.46	$69.47
United Facility/Professional Professional Modifier Low / Median / High Price $20.39 / $29.15 / $39.77	Professional		$20.39	$29.15	$39.77