Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.06 / $144.06 / $144.06	Facility		$144.06	$144.06	$144.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $122.18 / $169.08	Professional		$113.16	$122.18	$169.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.85 / $115.66 / $212.67	Professional		$106.85	$115.66	$212.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $180.76 / $180.76 / $180.76	Facility		$180.76	$180.76	$180.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.33 / $191.61 / $225.95	Professional		$164.33	$191.61	$225.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $185.00 / $185.00 / $185.00	Facility		$185.00	$185.00	$185.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.95 / $140.30 / $312.73	Professional		$103.95	$140.30	$312.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $121.18 / $121.87 / $144.06	Facility		$121.18	$121.87	$144.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.62 / $130.66 / $187.56	Professional		$116.62	$130.66	$187.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $130.80 / $176.59	Professional		$108.46	$130.80	$176.59
United Facility/Professional Professional Modifier Low / Median / High Price $112.40 / $138.87 / $203.20	Professional		$112.40	$138.87	$203.20