Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $91.08 / $432.43	Facility		$68.31	$91.08	$432.43
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.46 / $81.29 / $114.10	Professional		$63.46	$81.29	$114.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.78 / $81.42 / $97.19	Professional		$58.78	$81.42	$97.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $109.00 / $127.49 / $135.93	Facility		$109.00	$127.49	$135.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $109.08 / $133.86 / $159.36	Professional		$109.08	$133.86	$159.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.39 / $71.81 / $100.53	Facility		$53.39	$71.81	$100.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $80.73 / $96.88 / $187.19	Professional		$80.73	$96.88	$187.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.00 / $91.00 / $117.16	Professional		$62.00	$91.00	$117.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.42 / $91.08 / $432.43	Facility		$77.42	$91.08	$432.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.28 / $84.24 / $112.96	Professional		$66.28	$84.24	$112.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.97 / $99.98 / $145.15	Professional		$80.97	$99.98	$145.15
United Facility/Professional Professional Modifier Low / Median / High Price $79.76 / $98.52 / $135.47	Professional		$79.76	$98.52	$135.47