Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.67 / $12,077.25 / $16,432.65	Facility		$87.67	$12,077.25	$16,432.65
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.97 / $103.15	Professional		$85.12	$85.97	$103.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.25 / $85.25 / $150.00	Professional		$85.25	$85.25	$150.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $90.58 / $174.65 / $353.73	Facility		$90.58	$174.65	$353.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.38 / $90.19 / $117.07	Professional		$82.38	$90.19	$117.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $93.63 / $127.88	Facility		$85.12	$93.63	$127.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $89.38 / $197.36	Professional		$85.12	$89.38	$197.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $85.12 / $100.66	Professional		$85.12	$85.12	$100.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $87.67 / $171.23 / $12,787.50	Facility		$87.67	$171.23	$12,787.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $87.67 / $110.46	Professional		$85.12	$87.67	$110.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.87 / $92.25 / $125.80	Professional		$83.87	$92.25	$125.80
United Facility/Professional Professional Modifier Low / Median / High Price $85.12 / $94.76 / $105.56	Professional		$85.12	$94.76	$105.56