Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.30 / $400.44 / $711.20	Facility		$15.30	$400.44	$711.20
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $7.65 / $7.65 / $23.70	Facility	52	$7.65	$7.65	$23.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.30 / $39.61 / $82.00	Professional		$11.30	$39.61	$82.00
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $5.34 / $12.53 / $23.70	Professional	52	$5.34	$12.53	$23.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.77 / $22.34 / $35.36	Professional		$11.77	$22.34	$35.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.66 / $123.66 / $242.82	Facility		$64.66	$123.66	$242.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.55 / $18.30 / $23.53	Professional		$16.55	$18.30	$23.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $10.76 / $13.30 / $17.46	Facility		$10.76	$13.30	$17.46
CareSource Facility/Professional Professional Modifier Low / Median / High Price $32.83 / $42.68 / $52.64	Professional		$32.83	$42.68	$52.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $19.09 / $19.09 / $19.09	Facility		$19.09	$19.09	$19.09
Cigna Facility/Professional Facility Modifier 52 Low / Median / High Price $15.27 / $15.27 / $15.27	Facility	52	$15.27	$15.27	$15.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.89 / $38.42 / $69.66	Professional		$12.89	$38.42	$69.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.27 / $373.78 / $539.54	Facility		$19.27	$373.78	$539.54
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $7.65 / $7.65 / $23.70	Facility	52	$7.65	$7.65	$23.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $12.81 / $39.35 / $65.54	Professional		$12.81	$39.35	$65.54
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $6.17 / $16.67 / $31.08	Professional	52	$6.17	$16.67	$31.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.80 / $33.76 / $48.31	Professional		$26.80	$33.76	$48.31
United Facility/Professional Professional Modifier Low / Median / High Price $38.74 / $46.86 / $64.36	Professional		$38.74	$46.86	$64.36