Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $15.62 / $102.02 / $355.18	Facility		$15.62	$102.02	$355.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $18.73 / $58.42	Professional		$11.58	$18.73	$58.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $11.58 / $12.33 / $48.69	Professional		$11.58	$12.33	$48.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $95.59 / $200.64 / $392.05	Facility		$95.59	$200.64	$392.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.78 / $19.69 / $26.58	Professional		$14.78	$19.69	$26.58
CareSource Facility/Professional Facility Modifier Low / Median / High Price $9.73 / $13.74 / $17.42	Facility		$9.73	$13.74	$17.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.97 / $58.42 / $89.40	Professional		$43.97	$58.42	$89.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $12.41 / $48.92 / $87.91	Professional		$12.41	$48.92	$87.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.14 / $102.46 / $474.07	Facility		$15.14	$102.46	$474.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $11.92 / $32.00 / $66.12	Professional		$11.92	$32.00	$66.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $26.52 / $33.21 / $46.76	Professional		$26.52	$33.21	$46.76
United Facility/Professional Professional Modifier Low / Median / High Price $48.02 / $56.77 / $80.26	Professional		$48.02	$56.77	$80.26