Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $43.25 / $348.19 / $696.38	Facility		$43.25	$348.19	$696.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.47 / $43.25 / $47.31	Professional		$37.47	$43.25	$47.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.73 / $75.73 / $75.73	Professional		$75.73	$75.73	$75.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $114.63 / $228.37 / $415.94	Facility		$114.63	$228.37	$415.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $75.73 / $102.24	Professional		$71.94	$75.73	$102.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $49.22 / $50.40 / $56.49	Facility		$49.22	$50.40	$56.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.58 / $60.58 / $60.58	Professional		$60.58	$60.58	$60.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $48.98 / $48.98 / $48.98	Facility		$48.98	$48.98	$48.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $48.98 / $48.98 / $87.75	Professional		$48.98	$48.98	$87.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.73 / $338.36 / $696.38	Facility		$54.73	$338.36	$696.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.67 / $54.73 / $79.51	Professional		$40.67	$54.73	$79.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $45.95 / $56.04 / $64.44	Professional		$45.95	$56.04	$64.44
United Facility/Professional Professional Modifier Low / Median / High Price $29.58 / $36.20 / $54.20	Professional		$29.58	$36.20	$54.20