Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.37 / $239.37 / $243.44	Facility		$239.37	$239.37	$243.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.44 / $221.70 / $292.12	Professional		$197.44	$221.70	$292.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.61 / $206.97 / $366.80	Professional		$178.61	$206.97	$366.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $164.45 / $303.89 / $596.75	Facility		$164.45	$303.89	$596.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $288.58 / $318.95 / $379.71	Professional		$288.58	$318.95	$379.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $192.05 / $240.06 / $285.25	Facility		$192.05	$240.06	$285.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $194.67 / $238.00 / $321.14	Professional		$194.67	$238.00	$321.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $199.15 / $323.61 / $854.61	Professional		$199.15	$323.61	$854.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $212.78 / $212.78 / $243.44	Facility		$212.78	$212.78	$243.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $201.55 / $239.37 / $315.95	Professional		$201.55	$239.37	$315.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $203.52 / $294.70	Professional		$164.30	$203.52	$294.70
United Facility/Professional Professional Modifier Low / Median / High Price $207.05 / $241.04 / $345.71	Professional		$207.05	$241.04	$345.71