Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $71.28 / $71.28 / $71.28	Facility		$71.28	$71.28	$71.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.69 / $63.80 / $71.28	Professional		$45.69	$63.80	$71.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.56 / $79.56 / $79.56	Professional		$79.56	$79.56	$79.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $235.40 / $313.85 / $410.99	Facility		$235.40	$313.85	$410.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.58 / $81.30 / $86.66	Professional		$6.58	$81.30	$86.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $5.90 / $55.63 / $87.50	Facility		$5.90	$55.63	$87.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $6.85 / $51.34 / $96.16	Professional		$6.85	$51.34	$96.16
Cigna Facility/Professional Facility Modifier Low / Median / High Price $57.45 / $57.45 / $76.92	Facility		$57.45	$57.45	$76.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $57.45 / $75.92 / $107.15	Professional		$57.45	$75.92	$107.15
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $8.69 / $70.53 / $114.41	Professional		$8.69	$70.53	$114.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.49 / $30.00 / $88.17	Professional		$7.49	$30.00	$88.17
United Facility/Professional Professional Modifier Low / Median / High Price $36.11 / $58.87 / $83.85	Professional		$36.11	$58.87	$83.85