Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $88.20 / $163.88	Professional		$70.48	$88.20	$163.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.83 / $66.44 / $84.07	Professional		$56.83	$66.44	$84.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $107.18 / $127.60	Professional		$92.80	$107.18	$127.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $64.16 / $79.76 / $136.12	Professional		$64.16	$79.76	$136.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $58.38 / $89.72 / $197.48	Professional		$58.38	$89.72	$197.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $82.40 / $129.00	Professional		$71.37	$82.40	$129.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.61 / $67.24 / $98.78	Professional		$53.61	$67.24	$98.78
United Facility/Professional Professional Modifier Low / Median / High Price $64.84 / $79.97 / $98.08	Professional		$64.84	$79.97	$98.08