Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.25 / $100.25 / $112.10	Facility		$100.25	$100.25	$112.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.53 / $94.10 / $136.82	Professional		$77.53	$94.10	$136.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.98 / $97.30 / $130.36	Professional		$72.98	$97.30	$130.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.11 / $120.58 / $133.46	Facility		$101.11	$120.58	$133.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.43 / $133.46 / $166.83	Professional		$107.43	$133.46	$166.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $63.66 / $85.83 / $120.16	Facility		$63.66	$85.83	$120.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $115.45 / $223.74	Professional		$96.21	$115.45	$223.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.00 / $80.00 / $231.07	Professional		$67.00	$80.00	$231.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $97.52 / $97.52 / $112.10	Facility		$97.52	$97.52	$112.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.17 / $100.25 / $141.24	Professional		$83.17	$100.25	$141.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.16 / $100.56 / $145.17	Professional		$81.16	$100.56	$145.17
United Facility/Professional Professional Modifier Low / Median / High Price $80.94 / $104.97 / $136.19	Professional		$80.94	$104.97	$136.19