Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $110.21 / $185.08 / $274.48	Facility		$110.21	$185.08	$274.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $115.00 / $152.25 / $246.50	Professional		$115.00	$152.25	$246.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.77 / $135.40 / $206.00	Professional		$105.77	$135.40	$206.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.96 / $173.57 / $215.92	Facility		$162.96	$173.57	$215.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $162.96 / $193.07 / $250.65	Professional		$162.96	$193.07	$250.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $105.07 / $141.69 / $198.38	Facility		$105.07	$141.69	$198.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $162.16 / $194.59 / $376.86	Professional		$162.16	$194.59	$376.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.00 / $127.00 / $205.86	Professional		$65.00	$127.00	$205.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $110.21 / $188.79 / $281.64	Facility		$110.21	$188.79	$281.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $123.75 / $154.33 / $211.23	Professional		$123.75	$154.33	$211.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $167.52 / $243.04	Professional		$136.29	$167.52	$243.04
United Facility/Professional Professional Modifier Low / Median / High Price $112.56 / $159.97 / $211.23	Professional		$112.56	$159.97	$211.23