Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $11.20 / $37.00 / $179.55	Facility		$11.20	$37.00	$179.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.31 / $147.59 / $215.46	Professional		$117.31	$147.59	$215.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.91 / $130.44 / $153.86	Professional		$117.91	$130.44	$153.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $57.75 / $79.98 / $139.00	Facility		$57.75	$79.98	$139.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.20 / $88.05 / $125.88	Professional		$50.20	$88.05	$125.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.81 / $115.01 / $194.32	Facility		$44.81	$115.01	$194.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.27 / $128.44 / $202.11	Professional		$50.27	$128.44	$202.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $177.46 / $177.46 / $177.46	Facility		$177.46	$177.46	$177.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.57 / $167.00 / $344.75	Professional		$117.57	$167.00	$344.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $15.33 / $96.38 / $193.75	Facility		$15.33	$96.38	$193.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.38 / $160.53 / $226.23	Professional		$96.38	$160.53	$226.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $171.79 / $257.69	Professional		$123.42	$171.79	$257.69