Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.36 / $154.44 / $308.88	Facility		$51.36	$154.44	$308.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $48.31 / $54.02 / $96.90	Professional		$48.31	$54.02	$96.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.59 / $67.45 / $89.93	Professional		$50.59	$67.45	$89.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $136.11 / $271.19 / $493.93	Facility		$136.11	$271.19	$493.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $89.93 / $121.41	Professional		$85.43	$89.93	$121.41
CareSource Facility/Professional Facility Modifier Low / Median / High Price $58.45 / $89.93 / $133.57	Facility		$58.45	$89.93	$133.57
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $116.91 / $129.56	Professional		$71.94	$116.91	$129.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $56.94 / $58.00 / $58.00	Facility		$56.94	$58.00	$58.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $56.94 / $58.00 / $104.25	Professional		$56.94	$58.00	$104.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $64.98 / $121.11 / $308.88	Facility		$64.98	$121.11	$308.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.35 / $64.20 / $98.08	Professional		$51.35	$64.20	$98.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.57 / $66.55 / $76.53	Professional		$54.57	$66.55	$76.53
United Facility/Professional Professional Modifier Low / Median / High Price $35.13 / $44.87 / $64.37	Professional		$35.13	$44.87	$64.37