Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.70 / $342.70 / $342.70	Facility		$342.70	$342.70	$342.70
Aetna Facility/Professional Professional Modifier Low / Median / High Price $220.77 / $286.39 / $452.36	Professional		$220.77	$286.39	$452.36
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $110.39 / $143.19 / $177.76	Professional	52	$110.39	$143.19	$177.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $252.60 / $278.08 / $530.55	Professional		$252.60	$278.08	$530.55
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 / $466.71 / $547.79	Professional		$398.39	$466.71	$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 $227.13 / $311.32 / $747.26	Professional		$227.13	$311.32	$747.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $231.31 / $231.31 / $342.70	Facility		$231.31	$231.31	$342.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $221.87 / $292.69 / $456.77	Professional		$221.87	$292.69	$456.77
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $126.14 / $165.82 / $201.68	Professional	52	$126.14	$165.82	$201.68
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 $220.11 / $276.67 / $404.83	Professional		$220.11	$276.67	$404.83