Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $76.59 / $99.70 / $22,133.28	Facility		$76.59	$99.70	$22,133.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $75.09 / $90.08	Professional		$74.36	$75.09	$90.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.22 / $138.22 / $138.22	Professional		$138.22	$138.22	$138.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.77 / $159.16 / $303.27	Facility		$84.77	$159.16	$303.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.97 / $78.79 / $102.28	Professional		$71.97	$78.79	$102.28
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $81.80 / $111.68	Facility		$74.36	$81.80	$111.68
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $78.08 / $172.41	Professional		$74.36	$78.08	$172.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $74.36 / $87.69	Professional		$74.36	$74.36	$87.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $74.36 / $149.55 / $22,133.28	Facility		$74.36	$149.55	$22,133.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $76.59 / $96.66	Professional		$74.36	$76.59	$96.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $73.37 / $80.70 / $110.05	Professional		$73.37	$80.70	$110.05
United Facility/Professional Professional Modifier Low / Median / High Price $74.36 / $81.68 / $92.22	Professional		$74.36	$81.68	$92.22