Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $76.70 / $1,441.00	Facility		$73.06	$76.70	$1,441.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.85 / $63.81 / $158.76	Professional		$52.85	$63.81	$158.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.30 / $58.30 / $104.94	Professional		$58.30	$58.30	$104.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $29.45 / $59.66 / $106.06	Facility		$29.45	$59.66	$106.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $93.55 / $116.94	Professional		$73.59	$93.55	$116.94
CareSource Facility/Professional Facility Modifier Low / Median / High Price $46.33 / $65.40 / $82.86	Facility		$46.33	$65.40	$82.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $68.13 / $113.79	Professional		$52.31	$68.13	$113.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.22 / $66.17 / $221.88	Professional		$59.22	$66.17	$221.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.86 / $73.06 / $1,441.00	Facility		$56.86	$73.06	$1,441.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $56.86 / $69.95 / $158.76	Professional		$56.86	$69.95	$158.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.68 / $34.43 / $48.66	Professional		$27.68	$34.43	$48.66
United Facility/Professional Professional Modifier Low / Median / High Price $57.94 / $68.59 / $96.27	Professional		$57.94	$68.59	$96.27