Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.18 / $106.07 / $2,279.39	Facility		$84.18	$106.07	$2,279.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $75.22 / $129.12	Professional		$66.31	$75.22	$129.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $68.18 / $120.05	Professional		$56.80	$68.18	$120.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $104.58 / $104.58	Facility		$104.58	$104.58	$104.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.07 / $110.85 / $130.72	Professional		$95.07	$110.85	$130.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.45 / $83.08 / $99.69	Facility		$66.45	$83.08	$99.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.31 / $89.72 / $109.45	Professional		$69.31	$89.72	$109.45
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,478.00 / $1,478.00 / $1,863.00	Facility		$1,478.00	$1,478.00	$1,863.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.93 / $83.80 / $183.44	Professional		$61.93	$83.80	$183.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $69.68 / $88.39 / $3,546.92	Facility		$69.68	$88.39	$3,546.92
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $67.44 / $78.29 / $134.29	Professional		$67.44	$78.29	$134.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $65.56 / $90.40	Professional		$53.55	$65.56	$90.40
United Facility/Professional Facility Modifier Low / Median / High Price $390.00 / $420.00 / $900.00	Facility		$390.00	$420.00	$900.00
United Facility/Professional Professional Modifier Low / Median / High Price $65.13 / $82.58 / $118.45	Professional		$65.13	$82.58	$118.45