Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $48.28 / $48.89 / $48.89	Facility		$48.28	$48.89	$48.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.54 / $39.19 / $48.89	Professional		$31.54	$39.19	$48.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $25.00 / $25.00 / $25.00	Professional		$25.00	$25.00	$25.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $83.49 / $166.01 / $320.75	Facility		$83.49	$166.01	$320.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.11 / $61.42 / $79.73	Professional		$56.11	$61.42	$79.73
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.06 / $73.83 / $88.59	Facility		$59.06	$73.83	$88.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.23 / $81.31 / $97.27	Professional		$60.23	$81.31	$97.27
Cigna Facility/Professional Facility Modifier Low / Median / High Price $40.36 / $40.36 / $49.86	Facility		$40.36	$40.36	$49.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.31 / $40.36 / $75.92	Professional		$34.31	$40.36	$75.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.89 / $72.80 / $72.80	Facility		$48.89	$72.80	$72.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.90 / $59.06 / $73.81	Professional		$33.90	$59.06	$73.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $15.50 / $18.91 / $26.47	Professional		$15.50	$18.91	$26.47
United Facility/Professional Professional Modifier Low / Median / High Price $21.39 / $34.85 / $77.45	Professional		$21.39	$34.85	$77.45