Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $96.64 / $128.85 / $178.22	Facility		$96.64	$128.85	$178.22
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.64 / $109.52 / $142.59	Professional		$88.64	$109.52	$142.59
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.10 / $115.47 / $156.34	Professional		$109.10	$115.47	$156.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $150.86 / $180.76 / $204.11	Facility		$150.86	$180.76	$204.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.86 / $181.03 / $244.03	Professional		$150.86	$181.03	$244.03
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.83 / $104.54 / $146.36	Facility		$76.83	$104.54	$146.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $112.88 / $135.46 / $265.76	Professional		$112.88	$135.46	$265.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $119.00 / $152.00	Professional		$85.00	$119.00	$152.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $96.64 / $128.85 / $178.22	Facility		$96.64	$128.85	$178.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.01 / $114.84 / $147.38	Professional		$92.01	$114.84	$147.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $133.84 / $194.34	Professional		$108.46	$133.84	$194.34
United Facility/Professional Professional Modifier Low / Median / High Price $107.86 / $133.52 / $192.29	Professional		$107.86	$133.52	$192.29