Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.80 / $154.80 / $157.38	Facility		$154.80	$154.80	$157.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.98 / $143.21 / $185.76	Professional		$127.98	$143.21	$185.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.26 / $159.55 / $239.33	Professional		$119.26	$159.55	$239.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.22 / $198.15 / $389.08	Facility		$107.22	$198.15	$389.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $187.81 / $207.59 / $247.13	Professional		$187.81	$207.59	$247.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.01 / $156.26 / $185.67	Facility		$125.01	$156.26	$185.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $127.00 / $154.79 / $209.29	Professional		$127.00	$154.79	$209.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.80 / $209.75 / $553.91	Professional		$129.80	$209.75	$553.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $137.44 / $137.44 / $157.38	Facility		$137.44	$137.44	$157.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $130.19 / $154.80 / $204.33	Professional		$130.19	$154.80	$204.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $136.59 / $196.72	Professional		$109.84	$136.59	$196.72
United Facility/Professional Professional Modifier Low / Median / High Price $135.38 / $156.28 / $225.70	Professional		$135.38	$156.28	$225.70