Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.18 / $64.64 / $147.81	Facility		$46.18	$64.64	$147.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $94.07	Professional		$51.31	$51.31	$94.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $69.27 / $69.27 / $69.27	Professional		$69.27	$69.27	$69.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $75.70 / $105.57 / $185.42	Facility		$75.70	$105.57	$185.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.50 / $70.00 / $74.90	Professional		$66.50	$70.00	$74.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $76.20 / $123.14	Facility		$51.31	$76.20	$123.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $64.14 / $69.27	Professional		$51.31	$64.14	$69.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.01 / $41.48 / $64.11	Professional		$25.01	$41.48	$64.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $51.31 / $69.98 / $190.94	Facility		$51.31	$69.98	$190.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $51.31 / $90.80	Professional		$51.31	$51.31	$90.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.49 / $46.73 / $76.48	Professional		$42.49	$46.73	$76.48
United Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $51.31 / $91.06	Professional		$30.79	$51.31	$91.06