Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.90 / $405.09 / $2,143.89	Facility		$34.90	$405.09	$2,143.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.71 / $35.94 / $50.72	Professional		$27.71	$35.94	$50.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $30.73 / $33.40 / $55.32	Professional		$30.73	$33.40	$55.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $44.02 / $51.79 / $59.56	Facility		$44.02	$51.79	$59.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $52.82 / $67.33	Professional		$41.82	$52.82	$67.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $23.02 / $30.88 / $42.97	Facility		$23.02	$30.88	$42.97
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.88 / $37.06 / $67.59	Professional		$29.88	$37.06	$67.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $39.00 / $45.39	Professional		$25.00	$39.00	$45.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.20 / $647.60 / $2,621.97	Facility		$37.20	$647.60	$2,621.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $28.20 / $36.95 / $50.20	Professional		$28.20	$36.95	$50.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $33.05 / $47.72	Professional		$26.06	$33.05	$47.72
United Facility/Professional Professional Modifier Low / Median / High Price $35.24 / $42.08 / $58.87	Professional		$35.24	$42.08	$58.87