Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.97 / $82.97 / $82.97	Facility		$82.97	$82.97	$82.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.14 / $82.97 / $83.67	Professional		$55.14	$82.97	$83.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.26 / $105.26 / $105.26	Professional		$105.26	$105.26	$105.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $378.69 / $378.69 / $495.90	Facility		$378.69	$378.69	$495.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.94 / $77.45 / $139.40	Professional		$7.94	$77.45	$139.40
CareSource Facility/Professional Facility Modifier Low / Median / High Price $6.71 / $62.92 / $83.87	Facility		$6.71	$62.92	$83.87
CareSource Facility/Professional Professional Modifier Low / Median / High Price $8.26 / $61.96 / $103.22	Professional		$8.26	$61.96	$103.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $65.95 / $87.12	Facility		$65.95	$65.95	$87.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.95 / $77.11 / $93.89	Professional		$65.95	$77.11	$93.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.99 / $82.97 / $129.03	Professional		$40.99	$82.97	$129.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.97 / $30.00 / $93.89	Professional		$7.97	$30.00	$93.89
United Facility/Professional Professional Modifier Low / Median / High Price $41.56 / $67.51 / $107.16	Professional		$41.56	$67.51	$107.16