Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.63 / $58.63 / $58.63	Facility		$58.63	$58.63	$58.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $34.21 / $52.73 / $58.63	Professional		$34.21	$52.73	$58.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.37 / $93.49 / $93.82	Professional		$70.37	$93.49	$93.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.21 / $234.93 / $307.64	Facility		$176.21	$234.93	$307.64
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.68 / $48.05 / $86.48	Professional		$4.68	$48.05	$86.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $4.47 / $44.67 / $76.51	Facility		$4.47	$44.67	$76.51
CareSource Facility/Professional Professional Modifier Low / Median / High Price $5.13 / $38.44 / $110.78	Professional		$5.13	$38.44	$110.78
Cigna Facility/Professional Facility Modifier Low / Median / High Price $43.29 / $43.29 / $57.95	Facility		$43.29	$43.29	$57.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.29 / $57.95 / $92.34	Professional		$43.29	$57.95	$92.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $63.74 / $115.00	Professional		$39.11	$63.74	$115.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $5.50 / $30.00 / $64.73	Professional		$5.50	$30.00	$64.73
United Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $56.26 / $82.09	Professional		$30.75	$56.26	$82.09