Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.58 / $119.58 / $119.58	Facility		$119.58	$119.58	$119.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.29 / $104.92 / $131.38	Professional		$93.29	$104.92	$131.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.44 / $101.20 / $227.24	Professional		$89.44	$101.20	$227.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $151.38 / $151.38 / $151.38	Facility		$151.38	$151.38	$151.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.68 / $161.91 / $189.24	Professional		$141.68	$161.91	$189.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $411.00 / $411.00 / $411.00	Facility		$411.00	$411.00	$411.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,478.00 / $1,478.00 / $1,863.00	Facility		$1,478.00	$1,478.00	$1,863.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.33 / $124.42 / $278.48	Professional		$96.33	$124.42	$278.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $101.20 / $102.54 / $119.58	Facility		$101.20	$102.54	$119.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $99.51 / $109.28 / $153.13	Professional		$99.51	$109.28	$153.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $98.04 / $133.67	Professional		$80.97	$98.04	$133.67
United Facility/Professional Professional Modifier Low / Median / High Price $98.31 / $119.58 / $174.95	Professional		$98.31	$119.58	$174.95