Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.27 / $77.37 / $101.14	Facility		$68.27	$77.37	$101.14
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.27 / $85.97 / $120.00	Professional		$65.27	$85.97	$120.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.59 / $83.73 / $121.83	Professional		$75.59	$83.73	$121.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $39.79 / $45.96 / $57.08	Facility		$39.79	$45.96	$57.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.79 / $51.12 / $62.05	Professional		$39.79	$51.12	$62.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $59.68 / $80.86 / $113.20	Facility		$59.68	$80.86	$113.20
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.41 / $107.29 / $209.27	Professional		$89.41	$107.29	$209.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $64.00 / $193.18	Professional		$46.00	$64.00	$193.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.26 / $68.27 / $91.02	Facility		$40.26	$68.27	$91.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.81 / $86.21 / $120.00	Professional		$63.81	$86.21	$120.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $100.56 / $145.15	Professional		$81.16	$100.56	$145.15
United Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $90.31 / $120.02	Professional		$68.31	$90.31	$120.02