Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.09 / $199.56 / $631.83	Facility		$42.09	$199.56	$631.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $24.75 / $61.54 / $131.90	Professional		$24.75	$61.54	$131.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.10 / $42.81 / $96.97	Professional		$35.10	$42.81	$96.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.39 / $247.39 / $563.48	Facility		$176.39	$247.39	$563.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.57 / $54.90 / $70.59	Professional		$5.57	$54.90	$70.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $33.36 / $40.29 / $73.58	Facility		$33.36	$40.29	$73.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $94.93 / $99.83 / $149.08	Professional		$94.93	$99.83	$149.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.86 / $48.61 / $140.21	Professional		$21.86	$48.61	$140.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.84 / $195.29 / $646.39	Facility		$42.84	$195.29	$646.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.86 / $73.58 / $132.69	Professional		$37.86	$73.58	$132.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.32 / $141.24	Professional		$81.79	$101.32	$141.24
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 $56.02 / $71.84 / $93.95	Professional		$56.02	$71.84	$93.95