Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.18 / $81.81 / $101.28	Professional		$67.18	$81.81	$101.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.31 / $74.31 / $74.31	Professional		$74.31	$74.31	$74.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.55 / $110.55 / $137.41	Facility		$110.55	$110.55	$137.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.02 / $116.08 / $149.24	Professional		$105.02	$116.08	$149.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $86.17 / $86.17 / $143.77	Facility		$86.17	$86.17	$143.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.72 / $76.01 / $162.90	Professional		$59.72	$76.01	$162.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $87.21 / $106.73	Professional		$71.20	$87.21	$106.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $67.99 / $96.50	Professional		$54.68	$67.99	$96.50
United Facility/Professional Professional Modifier Low / Median / High Price $77.29 / $92.39 / $123.66	Professional		$77.29	$92.39	$123.66