Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.23 / $59.50 / $366.79	Facility		$47.23	$59.50	$366.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.21 / $47.23 / $63.87	Professional		$38.21	$47.23	$63.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $56.38 / $85.35	Professional		$35.50	$56.38	$85.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $98.80 / $190.90	Facility		$53.61	$98.80	$190.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.32 / $62.75 / $74.70	Professional		$54.32	$62.75	$74.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.84 / $45.94 / $57.05	Facility		$35.84	$45.94	$57.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $45.98 / $56.29 / $63.23	Professional		$45.98	$56.29	$63.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $70.51 / $175.66	Professional		$49.26	$70.51	$175.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.29 / $59.09 / $366.79	Facility		$52.29	$59.09	$366.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.57 / $52.29 / $81.09	Professional		$41.57	$52.29	$81.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $67.47 / $95.66	Professional		$54.30	$67.47	$95.66
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.31 / $61.63 / $86.11	Professional		$50.31	$61.63	$86.11