Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $27.85 / $69.34 / $81.59	Facility		$27.85	$69.34	$81.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.19 / $80.23 / $171.04	Professional		$61.19	$80.23	$171.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $79.22 / $102.99	Professional		$63.94	$79.22	$102.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $72.01 / $85.73 / $257.77	Facility		$72.01	$85.73	$257.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.01 / $91.69 / $107.16	Professional		$72.01	$91.69	$107.16
CareSource Facility/Professional Facility Modifier Low / Median / High Price $74.63 / $97.02 / $117.49	Facility		$74.63	$97.02	$117.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $102.31 / $154.25	Professional		$76.19	$102.31	$154.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $59.05 / $79.51 / $151.04	Professional		$59.05	$79.51	$151.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.18 / $71.40 / $81.59	Facility		$61.18	$71.40	$81.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.39 / $80.59 / $161.27	Professional		$61.39	$80.59	$161.27
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 $63.70 / $78.51 / $101.14	Professional		$63.70	$78.51	$101.14