Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $64.47 / $85.96 / $85.96	Facility		$64.47	$85.96	$85.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.47 / $90.82 / $231.72	Professional		$64.47	$90.82	$231.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.83 / $78.62 / $108.39	Professional		$66.83	$78.62	$108.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.11 / $104.83 / $257.77	Facility		$89.11	$104.83	$257.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.11 / $99.59 / $120.55	Professional		$89.11	$99.59	$120.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $77.84 / $101.21 / $128.44	Facility		$77.84	$101.21	$128.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.83 / $105.86 / $161.63	Professional		$78.83	$105.86	$161.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.90 / $108.79 / $192.26	Professional		$76.90	$108.79	$192.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.06 / $85.96 / $99.09	Facility		$73.06	$85.96	$99.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $87.68 / $183.86	Professional		$65.45	$87.68	$183.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $101.62 / $146.34	Professional		$82.48	$101.62	$146.34
United Facility/Professional Professional Modifier Low / Median / High Price $85.78 / $107.54 / $141.01	Professional		$85.78	$107.54	$141.01