Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $57.22 / $72.09 / $20,307.71	Facility		$57.22	$72.09	$20,307.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $56.11 / $66.15	Professional		$55.57	$56.11	$66.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.50 / $101.50 / $101.50	Professional		$101.50	$101.50	$101.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $59.13 / $114.01 / $230.91	Facility		$59.13	$114.01	$230.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.78 / $58.87 / $76.42	Professional		$53.78	$58.87	$76.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $54.67 / $60.14 / $83.36	Facility		$54.67	$60.14	$83.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $58.35 / $128.83	Professional		$55.57	$58.35	$128.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $55.57 / $68.58	Professional		$55.57	$55.57	$68.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $109.34 / $16,907.66	Facility		$55.57	$109.34	$16,907.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $56.11 / $70.01	Professional		$55.57	$56.11	$70.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $52.99 / $60.13 / $82.00	Professional		$52.99	$60.13	$82.00
United Facility/Professional Professional Modifier Low / Median / High Price $55.57 / $61.86 / $70.45	Professional		$55.57	$61.86	$70.45