Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.87 / $81.65 / $160.12	Professional		$62.87	$81.65	$160.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $50.58 / $58.87 / $109.24	Professional		$50.58	$58.87	$109.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.39 / $95.16 / $113.29	Professional		$82.39	$95.16	$113.29
CareSource Facility/Professional Professional Modifier Low / Median / High Price $57.10 / $70.88 / $120.89	Professional		$57.10	$70.88	$120.89
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.50 / $85.82 / $182.81	Professional		$59.50	$85.82	$182.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.88 / $76.53 / $110.37	Professional		$64.88	$76.53	$110.37
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 $61.52 / $75.34 / $100.47	Professional		$61.52	$75.34	$100.47