Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $104.34 / $123.11	Facility		$40.07	$104.34	$123.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.83 / $116.91 / $316.14	Professional		$83.83	$116.91	$316.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.45 / $117.61 / $211.70	Professional		$102.45	$117.61	$211.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $108.31 / $127.86 / $257.77	Facility		$108.31	$127.86	$257.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.31 / $132.97 / $159.83	Professional		$108.31	$132.97	$159.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $111.31 / $144.69 / $175.36	Facility		$111.31	$144.69	$175.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.06 / $153.16 / $229.59	Professional		$114.06	$153.16	$229.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.15 / $125.80 / $221.55	Professional		$84.15	$125.80	$221.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $40.07 / $122.76 / $133.13	Facility		$40.07	$122.76	$133.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.06 / $119.91 / $273.20	Professional		$92.06	$119.91	$273.20
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 $90.89 / $112.94 / $156.44	Professional		$90.89	$112.94	$156.44