Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $7.58 / $122.21 / $4,933.00	Facility		$7.58	$122.21	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $6.99 / $16.17 / $23.98	Professional		$6.99	$16.17	$23.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $18.52 / $18.52 / $18.52	Professional		$18.52	$18.52	$18.52
BCBS Facility/Professional Facility Modifier Low / Median / High Price $66.43 / $91.83 / $209.10	Facility		$66.43	$91.83	$209.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2.08 / $9.25 / $12.19	Professional		$2.08	$9.25	$12.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $7.01 / $7.71 / $10.40	Facility		$7.01	$7.71	$10.40
CareSource Facility/Professional Professional Modifier Low / Median / High Price $22.85 / $23.97 / $35.82	Professional		$22.85	$23.97	$35.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.00 / $21.43 / $28.62	Professional		$10.00	$21.43	$28.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $21.53 / $122.21 / $4,933.00	Facility		$21.53	$122.21	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $7.51 / $21.53 / $32.60	Professional		$7.51	$21.53	$32.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $33.62 / $47.36	Professional		$27.10	$33.62	$47.36
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $20.55 / $25.34 / $32.24	Professional		$20.55	$25.34	$32.24