Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.09 / $120.45 / $177.77	Facility		$83.09	$120.45	$177.77
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.67 / $93.26 / $130.00	Professional		$72.67	$93.26	$130.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.72 / $78.13 / $110.21	Professional		$72.72	$78.13	$110.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $51.41 / $119.84 / $157.38	Facility		$51.41	$119.84	$157.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.84 / $151.38 / $194.29	Professional		$119.84	$151.38	$194.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.34 / $97.39 / $136.35	Facility		$72.34	$97.39	$136.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.75 / $116.10 / $226.53	Professional		$96.75	$116.10	$226.53
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $80.00 / $138.25	Professional		$60.00	$80.00	$138.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $82.82 / $133.77 / $178.35	Facility		$82.82	$133.77	$178.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.23 / $94.17 / $130.85	Professional		$79.23	$94.17	$130.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $103.10 / $148.47	Professional		$83.14	$103.10	$148.47
United Facility/Professional Facility Modifier Low / Median / High Price $90.33 / $90.33 / $90.33	Facility		$90.33	$90.33	$90.33
United Facility/Professional Professional Modifier Low / Median / High Price $84.02 / $104.62 / $135.25	Professional		$84.02	$104.62	$135.25