Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.12 / $76.64 / $179.09	Facility		$68.12	$76.64	$179.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $52.63 / $64.28 / $82.90	Professional		$52.63	$64.28	$82.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $60.51 / $60.51 / $89.44	Professional		$60.51	$60.51	$89.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $68.81 / $86.03 / $91.63	Facility		$68.81	$86.03	$91.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.95 / $91.63 / $114.54	Professional		$72.95	$91.63	$114.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $43.74 / $58.96 / $82.54	Facility		$43.74	$58.96	$82.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $66.08 / $79.30 / $153.63	Professional		$66.08	$79.30	$153.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $46.00 / $55.00 / $158.10	Professional		$46.00	$55.00	$158.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.27 / $66.27 / $179.09	Facility		$66.27	$66.27	$179.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $56.79 / $68.12 / $90.91	Professional		$56.79	$68.12	$90.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.15 / $67.34 / $98.72	Professional		$55.15	$67.34	$98.72
United Facility/Professional Professional Modifier Low / Median / High Price $55.30 / $71.62 / $108.45	Professional		$55.30	$71.62	$108.45