Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.16 / $178.90 / $216.01	Facility		$134.16	$178.90	$216.01
Aetna Facility/Professional Professional Modifier Low / Median / High Price $141.72 / $186.84 / $457.00	Professional		$141.72	$186.84	$457.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $164.80 / $173.44 / $225.47	Professional		$164.80	$173.44	$225.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $175.44 / $206.40 / $257.77	Facility		$175.44	$206.40	$257.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.67 / $200.85 / $237.36	Professional		$166.67	$200.85	$237.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $163.53 / $212.59 / $269.82	Facility		$163.53	$212.59	$269.82
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.01 / $224.27 / $337.92	Professional		$167.01	$224.27	$337.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $217.80 / $380.54	Professional		$155.00	$217.80	$380.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $152.06 / $178.90 / $244.81	Facility		$152.06	$178.90	$244.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.25 / $185.34 / $408.34	Professional		$141.25	$185.34	$408.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.41 / $169.60 / $243.59	Professional		$137.41	$169.60	$243.59
United Facility/Professional Professional Modifier Low / Median / High Price $177.11 / $217.04 / $281.33	Professional		$177.11	$217.04	$281.33