Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.88 / $179.87 / $241.78	Facility		$79.88	$179.87	$241.78
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.37 / $136.16 / $212.26	Professional		$102.37	$136.16	$212.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.61 / $116.04 / $157.97	Professional		$93.61	$116.04	$157.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $163.36 / $181.60	Facility		$137.06	$163.36	$181.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $145.28 / $174.74 / $220.54	Professional		$145.28	$174.74	$220.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $99.07 / $133.35 / $186.69	Facility		$99.07	$133.35	$186.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $150.29 / $180.35 / $348.77	Professional		$150.29	$180.35	$348.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.00 / $108.00 / $182.83	Professional		$68.00	$108.00	$182.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $42.31 / $181.33 / $250.00	Facility		$42.31	$181.33	$250.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $108.85 / $140.00 / $194.30	Professional		$108.85	$140.00	$194.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.04 / $167.52 / $243.04	Professional		$136.04	$167.52	$243.04
United Facility/Professional Professional Modifier Low / Median / High Price $110.00 / $141.47 / $181.25	Professional		$110.00	$141.47	$181.25