Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $83.20 / $207.14	Facility		$51.58	$83.20	$207.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $53.10 / $60.61	Professional		$53.10	$53.10	$60.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $39.83 / $39.83	Professional		$39.83	$39.83	$39.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.48 / $103.96 / $184.87	Facility		$75.48	$103.96	$184.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.30 / $69.79 / $83.75	Professional		$66.30	$69.79	$83.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $45.67 / $50.24 / $64.83	Facility		$45.67	$50.24	$64.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $75.22 / $107.34	Professional		$64.83	$75.22	$107.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.42 / $56.42 / $56.42	Professional		$56.42	$56.42	$56.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $51.58 / $92.60 / $323.27	Facility		$51.58	$92.60	$323.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.10 / $59.89 / $71.86	Professional		$53.10	$59.89	$71.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $55.00	Professional		$30.00	$30.00	$55.00
United Facility/Professional Professional Modifier Low / Median / High Price $56.50 / $56.50 / $60.90	Professional		$56.50	$56.50	$60.90