Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.26 / $364.11 / $4,933.00	Facility		$29.26	$364.11	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $29.26 / $54.38	Professional		$11.59	$29.26	$54.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.42 / $24.42 / $24.42	Professional		$24.42	$24.42	$24.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.92 / $132.07 / $300.35	Facility		$95.92	$132.07	$300.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.62 / $37.29 / $44.83	Professional		$2.62	$37.29	$44.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $22.03 / $24.65 / $34.28	Facility		$22.03	$24.65	$34.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $42.55 / $45.49 / $67.73	Professional		$42.55	$45.49	$67.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $11.59 / $30.73 / $93.93	Professional		$11.59	$30.73	$93.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $24.65 / $52.78 / $4,933.00	Facility		$24.65	$52.78	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $24.53 / $32.07 / $64.62	Professional		$24.53	$32.07	$64.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $67.87 / $95.12	Professional		$54.90	$67.87	$95.12
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 $23.08 / $40.19 / $76.19	Professional		$23.08	$40.19	$76.19