Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.77 / $88.29 / $235.66	Facility		$72.77	$88.29	$235.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $77.15 / $98.42	Professional		$74.16	$77.15	$98.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.89 / $114.89 / $114.89	Professional		$114.89	$114.89	$114.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $69.04 / $97.11 / $169.08	Facility		$69.04	$97.11	$169.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.64 / $63.83 / $68.30	Professional		$60.64	$63.83	$68.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.10 / $126.39 / $231.08	Facility		$85.10	$126.39	$231.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.10 / $106.38 / $114.89	Professional		$85.10	$106.38	$114.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $69.76 / $191.48	Professional		$43.26	$69.76	$191.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $76.81 / $85.00 / $202.61	Facility		$76.81	$85.00	$202.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.83 / $111.96 / $136.72	Professional		$75.83	$111.96	$136.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.45 / $77.50 / $95.12	Professional		$70.45	$77.50	$95.12
United Facility/Professional Professional Modifier Low / Median / High Price $35.74 / $70.04 / $119.75	Professional		$35.74	$70.04	$119.75