Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $90.59 / $102.67 / $133.79	Facility		$90.59	$102.67	$133.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $105.72 / $138.00	Professional		$84.08	$105.72	$138.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.53 / $109.24 / $123.91	Professional		$95.53	$109.24	$123.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $52.67 / $61.39 / $71.25	Facility		$52.67	$61.39	$71.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.67 / $67.69 / $82.88	Professional		$52.67	$67.69	$82.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $79.41 / $108.00 / $151.19	Facility		$79.41	$108.00	$151.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $118.40 / $142.08 / $278.63	Professional		$118.40	$142.08	$278.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $104.00 / $255.52	Professional		$75.00	$104.00	$255.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.31 / $90.59 / $120.79	Facility		$54.31	$90.59	$120.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $108.45 / $141.93	Professional		$82.05	$108.45	$141.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $134.41 / $194.64	Professional		$108.65	$134.41	$194.64
United Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $126.16 / $174.88	Professional		$100.00	$126.16	$174.88