Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $30.87 / $9,110.40 / $17,116.83	Facility		$30.87	$9,110.40	$17,116.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.28 / $35.97	Professional		$29.98	$30.28	$35.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.70 / $55.70 / $55.70	Professional		$55.70	$55.70	$55.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $34.82 / $65.38 / $124.57	Facility		$34.82	$65.38	$124.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.01 / $31.76 / $41.23	Professional		$29.01	$31.76	$41.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.98 / $32.97 / $45.00	Facility		$29.98	$32.97	$45.00
CareSource Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $31.48 / $69.51	Professional		$29.98	$31.48	$69.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $29.98 / $37.39	Professional		$29.98	$29.98	$37.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $30.00 / $60.26 / $17,116.83	Facility		$30.00	$60.26	$17,116.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $30.87 / $37.47	Professional		$29.98	$30.87	$37.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.90 / $32.97 / $44.97	Professional		$28.90	$32.97	$44.97
United Facility/Professional Professional Modifier Low / Median / High Price $29.98 / $33.36 / $37.17	Professional		$29.98	$33.36	$37.17