Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $57.70 / $6,977.31	Facility		$28.70	$57.70	$6,977.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.14 / $78.22	Professional		$27.86	$28.14	$78.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.56 / $53.56 / $55.10	Professional		$53.56	$53.56	$55.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $33.40 / $64.04 / $121.15	Facility		$33.40	$64.04	$121.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.30 / $30.47 / $173.00	Professional		$29.30	$30.47	$173.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.86 / $30.65 / $43.28	Facility		$27.86	$30.65	$43.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $29.25 / $64.59	Professional		$27.86	$29.25	$64.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $27.86 / $38.58	Professional		$27.86	$27.86	$38.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $28.70 / $83.73 / $6,366.75	Facility		$28.70	$83.73	$6,366.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $28.14 / $41.78	Professional		$27.86	$28.14	$41.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $32.03 / $50.14	Professional		$27.86	$32.03	$50.14
United Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $31.01 / $35.65	Professional		$27.86	$31.01	$35.65