Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $100.74 / $134.32 / $262.08	Facility		$100.74	$134.32	$262.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.74 / $139.13 / $316.00	Professional		$100.74	$139.13	$316.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.53 / $130.38 / $176.03	Professional		$118.53	$130.38	$176.03
BCBS Facility/Professional Facility Modifier Low / Median / High Price $119.80 / $140.94 / $257.77	Facility		$119.80	$140.94	$257.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.81 / $147.99 / $176.18	Professional		$113.81	$147.99	$176.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $122.69 / $159.50 / $196.19	Facility		$122.69	$159.50	$196.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.13 / $168.03 / $253.67	Professional		$125.13	$168.03	$253.67
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.69 / $147.60 / $258.56	Professional		$111.69	$147.60	$258.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $114.17 / $134.32 / $262.08	Facility		$114.17	$134.32	$262.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.39 / $134.31 / $248.07	Professional		$101.39	$134.31	$248.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $135.99 / $195.23	Professional		$109.97	$135.99	$195.23
United Facility/Professional Professional Modifier Low / Median / High Price $119.33 / $146.56 / $190.08	Professional		$119.33	$146.56	$190.08