Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $45.13 / $265.95	Facility		$32.47	$45.13	$265.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.11 / $42.44 / $45.13	Professional		$39.11	$42.44	$45.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $37.36 / $59.27 / $59.27	Professional		$37.36	$59.27	$59.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.60 / $238.29 / $434.01	Facility		$119.60	$238.29	$434.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.06 / $79.02 / $106.68	Professional		$75.06	$79.02	$106.68
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.89 / $48.69 / $51.36	Facility		$42.89	$48.69	$51.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.22 / $63.22 / $63.22	Professional		$63.22	$63.22	$63.22
Cigna Facility/Professional Facility Modifier Low / Median / High Price $46.70 / $46.70 / $69.00	Facility		$46.70	$46.70	$69.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.70 / $46.70 / $91.50	Professional		$46.70	$46.70	$91.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $32.47 / $57.10 / $241.63	Facility		$32.47	$57.10	$241.63
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $57.10 / $81.90	Professional		$39.27	$57.10	$81.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $47.94 / $58.47 / $67.24	Professional		$47.94	$58.47	$67.24
United Facility/Professional Facility Modifier Low / Median / High Price $74.09 / $87.18 / $87.18	Facility		$74.09	$87.18	$87.18
United Facility/Professional Professional Modifier Low / Median / High Price $26.28 / $36.44 / $52.79	Professional		$26.28	$36.44	$52.79