Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $50.75 / $73.47	Facility		$50.75	$50.75	$73.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.99 / $47.73 / $50.75	Professional		$43.99	$47.73	$50.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.99 / $49.99 / $49.99	Professional		$49.99	$49.99	$49.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $134.51 / $268.00 / $488.11	Facility		$134.51	$268.00	$488.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $84.43 / $88.87 / $119.97	Professional		$84.43	$88.87	$119.97
CareSource Facility/Professional Facility Modifier Low / Median / High Price $56.37 / $57.77 / $58.08	Facility		$56.37	$57.77	$58.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $71.09 / $71.09 / $71.09	Professional		$71.09	$71.09	$71.09
Cigna Facility/Professional Facility Modifier Low / Median / High Price $49.61 / $49.61 / $49.61	Facility		$49.61	$49.61	$49.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.22 / $73.89 / $128.91	Professional		$36.22	$73.89	$128.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.75 / $64.20 / $73.47	Facility		$50.75	$64.20	$73.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.67 / $64.20 / $93.31	Professional		$47.67	$64.20	$93.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.92 / $65.76 / $75.62	Professional		$53.92	$65.76	$75.62
United Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $41.73 / $62.81	Professional		$31.01	$41.73	$62.81