Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.10 / $213.04 / $308.39	Facility		$86.10	$213.04	$308.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.10 / $167.07 / $225.35	Professional		$125.10	$167.07	$225.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.55 / $167.46 / $243.66	Professional		$130.55	$167.46	$243.66
BCBS Facility/Professional Facility Modifier Low / Median / High Price $194.62 / $198.71 / $263.31	Facility		$194.62	$198.71	$263.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.62 / $234.26 / $274.75	Professional		$194.62	$234.26	$274.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $119.36 / $161.71 / $226.39	Facility		$119.36	$161.71	$226.39
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.51 / $217.81 / $424.32	Professional		$181.51	$217.81	$424.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $150.40 / $371.82	Professional		$60.00	$150.40	$371.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $69.08 / $213.82 / $320.93	Facility		$69.08	$213.82	$320.93
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $137.71 / $171.71 / $229.86	Professional		$137.71	$171.71	$229.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.29 / $168.26 / $243.04	Professional		$136.29	$168.26	$243.04
United Facility/Professional Professional Modifier Low / Median / High Price $125.93 / $167.07 / $240.98	Professional		$125.93	$167.07	$240.98