Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.87 / $260.44 / $588.28	Facility		$55.87	$260.44	$588.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.22 / $55.87 / $63.14	Professional		$51.22	$55.87	$63.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $55.03 / $73.37 / $97.83	Professional		$55.03	$73.37	$97.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.07 / $295.02 / $537.32	Facility		$148.07	$295.02	$537.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.94 / $97.83 / $132.07	Professional		$92.94	$97.83	$132.07
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.59 / $97.83 / $145.30	Facility		$63.59	$97.83	$145.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.26 / $127.18 / $136.96	Professional		$78.26	$127.18	$136.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $72.18 / $72.18 / $72.18	Facility		$72.18	$72.18	$72.18
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.18 / $72.18 / $113.25	Professional		$72.18	$72.18	$113.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.70 / $425.90 / $588.28	Facility		$70.70	$425.90	$588.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.54 / $70.70 / $117.39	Professional		$52.54	$70.70	$117.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.35 / $72.39 / $83.24	Professional		$59.35	$72.39	$83.24
United Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $46.77 / $70.02	Professional		$38.22	$46.77	$70.02