Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.42 / $166.02 / $305.33	Professional		$127.42	$166.02	$305.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.54 / $113.27 / $220.10	Professional		$93.54	$113.27	$220.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $165.38 / $192.95 / $229.70	Professional		$165.38	$192.95	$229.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $115.41 / $143.07 / $243.56	Professional		$115.41	$143.07	$243.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $120.58 / $175.76 / $377.60	Professional		$120.58	$175.76	$377.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.78 / $158.12 / $239.00	Professional		$131.78	$158.12	$239.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $80.42 / $100.92 / $146.39	Professional		$80.42	$100.92	$146.39
United Facility/Professional Professional Modifier Low / Median / High Price $127.53 / $152.02 / $202.78	Professional		$127.53	$152.02	$202.78