Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.99 / $223.87 / $400.00	Professional		$37.99	$223.87	$400.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.00 / $144.00 / $144.00	Professional		$144.00	$144.00	$144.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.42 / $274.89 / $343.61	Professional		$256.42	$274.89	$343.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $208.62 / $250.34 / $268.27	Professional		$208.62	$250.34	$268.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $191.15 / $712.38 / $1,167.75	Professional		$191.15	$712.38	$1,167.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.11 / $164.15 / $285.14	Professional		$41.11	$164.15	$285.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $184.18 / $232.08 / $331.71	Professional		$184.18	$232.08	$331.71
United Facility/Professional Professional Modifier Low / Median / High Price $38.43 / $46.09 / $71.67	Professional		$38.43	$46.09	$71.67