Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $91.08 / $115.53	Facility		$68.31	$91.08	$115.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $88.87 / $126.40	Professional		$65.44	$88.87	$126.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.28 / $94.20 / $132.82	Professional		$72.28	$94.20	$132.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $116.74 / $143.91 / $167.81	Facility		$116.74	$143.91	$167.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.83 / $153.91 / $194.29	Professional		$117.83	$153.91	$194.29
CareSource Facility/Professional Facility Modifier Low / Median / High Price $53.61 / $72.09 / $100.94	Facility		$53.61	$72.09	$100.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $89.94 / $108.68 / $208.54	Professional		$89.94	$108.68	$208.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.00 / $102.00 / $127.31	Professional		$70.00	$102.00	$127.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $86.65 / $99.28 / $115.53	Facility		$86.65	$99.28	$115.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.31 / $91.08 / $132.41	Professional		$68.31	$91.08	$132.41
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.47 / $99.98 / $145.15	Professional		$80.47	$99.98	$145.15
United Facility/Professional Professional Modifier Low / Median / High Price $92.50 / $112.74 / $150.28	Professional		$92.50	$112.74	$150.28