Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $29.19 / $186.73 / $454.61	Facility		$29.19	$186.73	$454.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $21.69 / $29.19 / $29.19	Professional		$21.69	$29.19	$29.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.93 / $38.33 / $38.34	Professional		$36.93	$38.33	$38.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $77.36 / $154.13 / $280.72	Facility		$77.36	$154.13	$280.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $48.55 / $51.11 / $69.00	Professional		$48.55	$51.11	$69.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $28.48 / $43.82 / $75.91	Facility		$28.48	$43.82	$75.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $40.89 / $66.44 / $73.91	Professional		$40.89	$66.44	$73.91
Cigna Facility/Professional Facility Modifier Low / Median / High Price $29.97 / $35.00 / $35.00	Facility		$29.97	$35.00	$35.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $29.97 / $35.00 / $59.25	Professional		$29.97	$35.00	$59.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $29.71 / $167.08 / $454.61	Facility		$29.71	$167.08	$454.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $25.02 / $36.93 / $53.66	Professional		$25.02	$36.93	$53.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.01 / $37.82 / $43.49	Professional		$31.01	$37.82	$43.49
United Facility/Professional Professional Modifier Low / Median / High Price $18.22 / $24.43 / $36.58	Professional		$18.22	$24.43	$36.58