Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.28 / $152.33 / $212.84	Professional		$121.28	$152.33	$212.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $105.13 / $105.13 / $120.89	Professional		$105.13	$105.13	$120.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $159.97 / $184.58 / $219.74	Professional		$159.97	$184.58	$219.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.21 / $136.66 / $232.50	Professional		$110.21	$136.66	$232.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $116.61 / $171.52 / $362.71	Professional		$116.61	$171.52	$362.71
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.70 / $136.94 / $189.13	Professional		$120.70	$136.94	$189.13
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 $126.69 / $151.00 / $189.46	Professional		$126.69	$151.00	$189.46