Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $11,869.80 / $28,025.97	Facility		$62.10	$11,869.80	$28,025.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.89 / $11,194.00	Professional		$60.29	$60.89	$11,194.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $58.56 / $108.72	Professional		$58.56	$58.56	$108.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $64.15 / $123.69 / $250.53	Facility		$64.15	$123.69	$250.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.35 / $63.88 / $82.92	Professional		$58.35	$63.88	$82.92
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.56 / $64.42 / $90.44	Facility		$58.56	$64.42	$90.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $63.30 / $139.79	Professional		$60.29	$63.30	$139.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $71.09	Professional		$60.29	$60.29	$71.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $62.10 / $11,331.60 / $28,800.20	Facility		$62.10	$11,331.60	$28,800.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.89 / $79.05	Professional		$60.29	$60.89	$79.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.56 / $64.41 / $87.84	Professional		$58.56	$64.41	$87.84
United Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $67.12 / $74.77	Professional		$60.29	$67.12	$74.77