Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $81.52 / $141.00	Facility		$27.90	$81.52	$141.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $54.41 / $67.84 / $97.08	Professional		$54.41	$67.84	$97.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.43 / $69.31 / $87.29	Professional		$52.43	$69.31	$87.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.43 / $83.65 / $101.24	Facility		$70.43	$83.65	$101.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $70.43 / $89.46 / $112.93	Professional		$70.43	$89.46	$112.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $50.74 / $68.28 / $95.59	Facility		$50.74	$68.28	$95.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $92.28 / $178.43	Professional		$76.90	$92.28	$178.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.00 / $58.00 / $91.52	Professional		$40.00	$58.00	$91.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.90 / $93.04 / $157.93	Facility		$27.90	$93.04	$157.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.41 / $69.62 / $92.82	Professional		$54.41	$69.62	$92.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $100.56 / $145.15	Professional		$81.08	$100.56	$145.15
United Facility/Professional Professional Modifier Low / Median / High Price $55.56 / $72.86 / $97.42	Professional		$55.56	$72.86	$97.42