Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.68 / $68.40 / $122.54	Facility		$66.68	$68.40	$122.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.95 / $63.65 / $83.95	Professional		$60.95	$63.65	$83.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $42.12 / $42.12 / $42.12	Professional		$42.12	$42.12	$42.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $56.95 / $80.09 / $139.46	Facility		$56.95	$80.09	$139.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.02 / $52.65 / $56.34	Professional		$50.02	$52.65	$56.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.20 / $104.27 / $190.60	Facility		$70.20	$104.27	$190.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $87.75 / $94.77	Professional		$70.20	$87.75	$94.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $35.65 / $57.48 / $157.94	Professional		$35.65	$57.48	$157.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $63.36 / $66.69 / $122.54	Facility		$63.36	$66.69	$122.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.18 / $83.95 / $104.66	Professional		$61.18	$83.95	$104.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $58.13 / $63.94 / $78.47	Professional		$58.13	$63.94	$78.47
United Facility/Professional Professional Modifier Low / Median / High Price $29.48 / $57.46 / $95.76	Professional		$29.48	$57.46	$95.76