Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.42 / $125.89 / $263.57	Facility		$94.42	$125.89	$263.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $89.48 / $117.35 / $153.61	Professional		$89.48	$117.35	$153.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.92 / $127.20 / $189.36	Professional		$101.92	$127.20	$189.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $162.03 / $192.72 / $219.21	Facility		$162.03	$192.72	$219.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $171.55 / $202.06 / $240.90	Professional		$171.55	$202.06	$240.90
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.91 / $101.47 / $142.06	Facility		$74.91	$101.47	$142.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.46 / $144.55 / $280.20	Professional		$120.46	$144.55	$280.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.00 / $134.00 / $173.35	Professional		$92.00	$134.00	$173.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $114.14 / $130.11 / $263.57	Facility		$114.14	$130.11	$263.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $94.42 / $121.41 / $157.68	Professional		$94.42	$121.41	$157.68
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 $124.88 / $149.60 / $197.34	Professional		$124.88	$149.60	$197.34