Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $74.52 / $402.22	Facility		$39.21	$74.52	$402.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $36.79 / $49.36	Professional		$35.10	$36.79	$49.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.51 / $20.64 / $106.63	Professional		$16.51	$20.64	$106.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $32.43 / $46.69 / $82.01	Facility		$32.43	$46.69	$82.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.05 / $30.96 / $41.80	Professional		$21.05	$30.96	$41.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $30.96 / $41.28 / $112.07	Facility		$30.96	$41.28	$112.07
CareSource Facility/Professional Professional Modifier Low / Median / High Price $26.83 / $26.83 / $41.28	Professional		$26.83	$26.83	$41.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $31.74 / $47.50 / $59.37	Professional		$31.74	$47.50	$59.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $39.21 / $68.52 / $396.97	Facility		$39.21	$68.52	$396.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.44 / $41.28 / $70.15	Professional		$35.44	$41.28	$70.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.76 / $34.18 / $46.14	Professional		$30.76	$34.18	$46.14
United Facility/Professional Professional Modifier Low / Median / High Price $17.34 / $33.97 / $35.81	Professional		$17.34	$33.97	$35.81