Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.73 / $123.23 / $162.32	Facility		$108.73	$123.23	$162.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.32 / $125.81 / $165.00	Professional		$99.32	$125.81	$165.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.98 / $129.47 / $146.71	Professional		$112.98	$129.47	$146.71
BCBS Facility/Professional Facility Modifier Low / Median / High Price $132.84 / $158.26 / $190.96	Facility		$132.84	$158.26	$190.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $176.03 / $213.65	Professional		$135.41	$176.03	$213.65
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.57 / $129.02 / $180.63	Facility		$95.57	$129.02	$180.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.13 / $172.96 / $335.78	Professional		$144.13	$172.96	$335.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $171.01 / $250.00	Professional		$100.00	$171.01	$250.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $121.74 / $129.60 / $144.97	Facility		$121.74	$129.60	$144.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $106.87 / $129.60 / $170.23	Professional		$106.87	$129.60	$170.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.57 / $134.24 / $194.64	Professional		$108.57	$134.24	$194.64
United Facility/Professional Professional Modifier Low / Median / High Price $105.98 / $144.46 / $203.68	Professional		$105.98	$144.46	$203.68