Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $67.36 / $130.05	Facility		$60.92	$67.36	$130.05
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $60.62 / $74.09	Professional		$58.71	$60.62	$74.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $46.78 / $125.00	Professional		$26.94	$46.78	$125.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.66 / $76.19 / $133.82	Facility		$52.66	$76.19	$133.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $50.52 / $68.20	Professional		$34.35	$50.52	$68.20
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.52 / $67.36 / $182.90	Facility		$50.52	$67.36	$182.90
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $43.78 / $67.36	Professional		$43.78	$43.78	$67.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.79 / $77.23 / $96.54	Professional		$51.79	$77.23	$96.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.92 / $78.06 / $127.50	Facility		$60.92	$78.06	$127.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.71 / $67.36 / $90.94	Professional		$58.71	$67.36	$90.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $50.19 / $55.77 / $75.28	Professional		$50.19	$55.77	$75.28
United Facility/Professional Professional Modifier Low / Median / High Price $28.29 / $55.44 / $58.44	Professional		$28.29	$55.44	$58.44