Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $127.06 / $163.60 / $270.44	Professional		$127.06	$163.60	$270.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.06 / $117.07 / $146.51	Professional		$109.06	$117.07	$146.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.90 / $189.80 / $225.95	Professional		$163.90	$189.80	$225.95
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.48 / $140.50 / $238.60	Professional		$113.48	$140.50	$238.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.44 / $183.90 / $373.89	Professional		$118.44	$183.90	$373.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $128.77 / $155.03 / $222.40	Professional		$128.77	$155.03	$222.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $79.57 / $100.63 / $147.35	Professional		$79.57	$100.63	$147.35
United Facility/Professional Professional Modifier Low / Median / High Price $128.88 / $156.81 / $216.12	Professional		$128.88	$156.81	$216.12