Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.18 / $1,060.76 / $1,309.94	Facility		$41.18	$1,060.76	$1,309.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $19.64 / $41.18 / $41.18	Professional		$19.64	$41.18	$41.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $54.08 / $54.08 / $54.08	Professional		$54.08	$54.08	$54.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $163.08 / $297.02	Facility		$81.86	$163.08	$297.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $51.38 / $54.08 / $73.01	Professional		$51.38	$54.08	$73.01
CareSource Facility/Professional Facility Modifier Low / Median / High Price $35.15 / $35.15 / $35.15	Facility		$35.15	$35.15	$35.15
CareSource Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $43.26 / $43.26	Professional		$43.26	$43.26	$43.26
Cigna Facility/Professional Facility Modifier Low / Median / High Price $35.60 / $35.60 / $35.60	Facility		$35.60	$35.60	$35.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.99 / $35.60 / $62.63	Professional		$25.99	$35.60	$62.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.96 / $1,060.76 / $1,309.94	Facility		$28.96	$1,060.76	$1,309.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.98 / $41.17 / $54.08	Professional		$27.98	$41.17	$54.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $40.02 / $46.02	Professional		$30.00	$40.02	$46.02
United Facility/Professional Professional Modifier Low / Median / High Price $19.01 / $26.14 / $43.56	Professional		$19.01	$26.14	$43.56