Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.11 / $51.11 / $182.52	Facility		$51.11	$51.11	$182.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.29 / $53.66 / $76.41	Professional		$44.29	$53.66	$76.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.72 / $77.81 / $82.99	Professional		$62.72	$77.81	$82.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $115.71 / $230.54 / $419.89	Facility		$115.71	$230.54	$419.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.63 / $76.45 / $103.21	Professional		$72.63	$76.45	$103.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.69 / $76.45 / $113.55	Facility		$49.69	$76.45	$113.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $61.16 / $99.39 / $116.83	Professional		$61.16	$99.39	$116.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.97 / $84.97 / $87.14	Facility		$84.97	$84.97	$87.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.97 / $84.97 / $103.13	Professional		$84.97	$84.97	$103.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $51.11 / $53.93 / $182.52	Facility		$51.11	$53.93	$182.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.10 / $53.93 / $95.56	Professional		$51.10	$53.93	$95.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.25 / $76.77 / $88.28	Professional		$65.25	$76.77	$88.28
United Facility/Professional Professional Modifier Low / Median / High Price $39.08 / $58.24 / $97.06	Professional		$39.08	$58.24	$97.06