Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.07 / $343.07 / $343.07	Facility		$343.07	$343.07	$343.07
Aetna Facility/Professional Professional Modifier Low / Median / High Price $222.21 / $291.14 / $432.26	Professional		$222.21	$291.14	$432.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $247.99 / $276.55 / $510.38	Professional		$247.99	$276.55	$510.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $438.23 / $438.23 / $438.23	Facility		$438.23	$438.23	$438.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $398.39 / $464.52 / $547.79	Professional		$398.39	$464.52	$547.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.55 / $345.69 / $414.83	Facility		$276.55	$345.69	$414.83
CareSource Facility/Professional Professional Modifier Low / Median / High Price $288.54 / $373.34 / $455.45	Professional		$288.54	$373.34	$455.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $229.53 / $311.32 / $748.10	Professional		$229.53	$311.32	$748.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $232.29 / $232.29 / $343.07	Facility		$232.29	$232.29	$343.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $222.21 / $302.98 / $432.26	Professional		$222.21	$302.98	$432.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.91 / $294.12 / $401.01	Professional		$242.91	$294.12	$401.01
United Facility/Professional Professional Modifier Low / Median / High Price $220.22 / $272.27 / $406.38	Professional		$220.22	$272.27	$406.38