Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.99 / $80.80 / $152.71	Facility		$52.99	$80.80	$152.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $50.82 / $54.02 / $61.98	Professional		$50.82	$54.02	$61.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.79 / $24.79 / $43.04	Professional		$24.79	$24.79	$43.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $48.69 / $70.12 / $123.15	Facility		$48.69	$70.12	$123.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.61 / $46.49 / $62.76	Professional		$31.61	$46.49	$62.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.49 / $61.98 / $168.32	Facility		$46.49	$61.98	$168.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $61.98	Professional		$40.29	$40.29	$61.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.66 / $71.45 / $89.31	Professional		$47.66	$71.45	$89.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.99 / $82.52 / $172.73	Facility		$52.99	$82.52	$172.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.36 / $58.88 / $82.52	Professional		$51.36	$58.88	$82.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $46.18 / $51.32 / $69.28	Professional		$46.18	$51.32	$69.28
United Facility/Professional Professional Modifier Low / Median / High Price $26.03 / $51.01 / $53.78	Professional		$26.03	$51.01	$53.78