Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $45.68 / $45.68	Facility		$45.68	$45.68	$45.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.06 / $45.68 / $45.68	Professional		$39.06	$45.68	$45.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $59.99 / $60.00 / $60.00	Professional		$59.99	$60.00	$60.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $121.07 / $241.22 / $439.34	Facility		$121.07	$241.22	$439.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $79.98 / $107.99	Professional		$75.98	$79.98	$107.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.99 / $51.99 / $56.93	Facility		$51.99	$51.99	$56.93
CareSource Facility/Professional Professional Modifier Low / Median / High Price $63.99 / $63.99 / $63.99	Professional		$63.99	$63.99	$63.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.74 / $51.74 / $51.74	Facility		$51.74	$51.74	$51.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $37.77 / $66.51 / $115.78	Professional		$37.77	$66.51	$115.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $45.68 / $57.81 / $57.81	Facility		$45.68	$57.81	$57.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $57.81 / $83.98	Professional		$45.26	$57.81	$83.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $59.19 / $68.06	Professional		$48.53	$59.19	$68.06
United Facility/Professional Professional Modifier Low / Median / High Price $33.26 / $39.90 / $62.71	Professional		$33.26	$39.90	$62.71