Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.02 / $146.13 / $220.37	Facility		$43.02	$146.13	$220.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.97 / $43.02 / $62.55	Professional		$33.97	$43.02	$62.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $34.07 / $34.07 / $34.07	Professional		$34.07	$34.07	$34.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $65.44 / $125.14 / $245.73	Facility		$65.44	$125.14	$245.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.68 / $54.90 / $70.59	Professional		$49.68	$54.90	$70.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $31.51 / $37.88 / $48.91	Facility		$31.51	$37.88	$48.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $31.51 / $40.96 / $50.44	Professional		$31.51	$40.96	$50.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $39.04 / $39.04 / $39.04	Facility		$39.04	$39.04	$39.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.97 / $46.54 / $102.53	Professional		$34.97	$46.54	$102.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $33.96 / $101.64 / $219.29	Facility		$33.96	$101.64	$219.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $40.88 / $61.31	Professional		$33.96	$40.88	$61.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.94 / $33.77 / $48.52	Professional		$26.94	$33.77	$48.52
United Facility/Professional Professional Modifier Low / Median / High Price $32.58 / $41.95 / $58.46	Professional		$32.58	$41.95	$58.46