Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.12 / $138.99 / $185.32	Facility		$85.12	$138.99	$185.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.66 / $97.50 / $130.00	Professional		$77.66	$97.50	$130.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.91 / $78.26 / $104.35	Professional		$70.91	$78.26	$104.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $42.80 / $109.75 / $129.12	Facility		$42.80	$109.75	$129.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $130.71 / $159.77	Professional		$106.51	$130.71	$159.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $101.54 / $142.16	Facility		$75.45	$101.54	$142.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $121.08 / $236.06	Professional		$100.90	$121.08	$236.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.00 / $84.00 / $139.40	Professional		$60.00	$84.00	$139.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $27.31 / $139.41 / $185.90	Facility		$27.31	$139.41	$185.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $100.15 / $132.31	Professional		$82.00	$100.15	$132.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.73 / $101.21 / $148.08	Professional		$82.73	$101.21	$148.08
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 $91.77 / $112.74 / $148.36	Professional		$91.77	$112.74	$148.36