Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $95.07 / $125.40	Facility		$81.37	$95.07	$125.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.15 / $85.04 / $114.87	Professional		$67.15	$85.04	$114.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.36 / $86.69 / $140.31	Professional		$62.36	$86.69	$140.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.27 / $117.52 / $135.52	Facility		$94.27	$117.52	$135.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.16 / $124.04 / $146.90	Professional		$100.16	$124.04	$146.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.57 / $75.17 / $105.24	Facility		$55.57	$75.17	$105.24
CareSource Facility/Professional Professional Modifier Low / Median / High Price $85.42 / $102.50 / $198.86	Professional		$85.42	$102.50	$198.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $98.00 / $126.00	Professional		$67.00	$98.00	$126.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.37 / $106.59 / $125.40	Facility		$81.37	$106.59	$125.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.29 / $87.81 / $115.69	Professional		$71.29	$87.81	$115.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $100.56 / $145.15	Professional		$81.16	$100.56	$145.15
United Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $107.35 / $144.37	Professional		$89.04	$107.35	$144.37