Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.52 / $55.15 / $186.26	Facility		$52.52	$55.15	$186.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.56 / $45.96 / $63.24	Professional		$33.56	$45.96	$63.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.13 / $54.13 / $54.13	Professional		$54.13	$54.13	$54.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $88.61 / $108.03	Facility		$60.32	$88.61	$108.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.00 / $60.00 / $95.00	Professional		$43.00	$60.00	$95.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.34 / $64.43 / $89.00	Facility		$53.34	$64.43	$89.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $74.14 / $83.76	Professional		$64.47	$74.14	$83.76
Cigna Facility/Professional Facility Modifier Low / Median / High Price $53.50 / $65.00 / $65.00	Facility		$53.50	$65.00	$65.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.53 / $52.15 / $93.41	Professional		$38.53	$52.15	$93.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $52.52 / $54.73 / $186.26	Facility		$52.52	$54.73	$186.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.53 / $53.34 / $72.70	Professional		$39.53	$53.34	$72.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.30 / $66.78 / $93.71	Professional		$54.30	$66.78	$93.71
United Facility/Professional Professional Modifier Low / Median / High Price $48.20 / $53.50 / $63.97	Professional		$48.20	$53.50	$63.97