Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.17 / $130.09 / $251.10	Professional		$106.17	$130.09	$251.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $133.96 / $147.31 / $162.04	Professional		$133.96	$147.31	$162.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $212.89 / $224.09 / $302.52	Professional		$212.89	$224.09	$302.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.21 / $191.87 / $296.56	Professional		$173.21	$191.87	$296.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.30 / $189.74 / $313.37	Professional		$108.30	$189.74	$313.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $132.30 / $230.73	Professional		$88.94	$132.30	$230.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.22 / $129.65 / $168.06	Professional		$107.22	$129.65	$168.06
United Facility/Professional Professional Modifier Low / Median / High Price $109.04 / $137.44 / $175.12	Professional		$109.04	$137.44	$175.12