Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $83.66 / $207.79	Facility		$45.90	$83.66	$207.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $45.91 / $118.86	Professional		$39.67	$45.91	$118.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.29 / $60.29 / $80.39	Professional		$60.29	$60.29	$80.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.68 / $242.42 / $441.53	Facility		$121.68	$242.42	$441.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.37 / $80.39 / $108.53	Professional		$76.37	$80.39	$108.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $42.93 / $74.16 / $119.41	Facility		$42.93	$74.16	$119.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.31 / $92.47 / $112.55	Professional		$64.31	$92.47	$112.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $45.70 / $45.70 / $45.96	Facility		$45.70	$45.70	$45.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $33.36 / $66.84 / $116.72	Professional		$33.36	$66.84	$116.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.90 / $100.45 / $207.79	Facility		$45.90	$100.45	$207.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.67 / $56.16 / $96.47	Professional		$39.67	$56.16	$96.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.78 / $59.49 / $68.41	Professional		$48.78	$59.49	$68.41
United Facility/Professional Professional Modifier Low / Median / High Price $25.80 / $37.09 / $57.55	Professional		$25.80	$37.09	$57.55