Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $224.73 / $337.10 / $701.16	Facility		$224.73	$337.10	$701.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.13 / $224.72 / $440.47	Professional		$155.13	$224.72	$440.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $162.34 / $212.91 / $274.80	Professional		$162.34	$212.91	$274.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $289.33 / $289.33 / $289.33	Facility		$289.33	$289.33	$289.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $274.86 / $303.80 / $390.60	Professional		$274.86	$303.80	$390.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $181.97 / $200.17 / $254.76	Facility		$181.97	$200.17	$254.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $236.56 / $271.73 / $420.01	Professional		$236.56	$271.73	$420.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $168.19 / $250.25 / $422.65	Professional		$168.19	$250.25	$422.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $143.05 / $337.10 / $1,548.40	Facility		$143.05	$337.10	$1,548.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $143.05 / $224.72 / $416.16	Professional		$143.05	$224.72	$416.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.75 / $165.30 / $202.16	Professional		$136.75	$165.30	$202.16
United Facility/Professional Professional Modifier Low / Median / High Price $170.48 / $218.21 / $304.01	Professional		$170.48	$218.21	$304.01