Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $62.15 / $82.87 / $113.00	Facility		$62.15	$82.87	$113.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.82 / $80.01 / $168.21	Professional		$61.82	$80.01	$168.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.59 / $80.84 / $114.98	Professional		$76.59	$80.84	$114.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $101.75 / $120.51 / $257.77	Facility		$101.75	$120.51	$257.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.74 / $128.88 / $150.63	Professional		$107.74	$128.88	$150.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $76.09 / $98.93 / $119.62	Facility		$76.09	$98.93	$119.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $77.97 / $104.71 / $156.56	Professional		$77.97	$104.71	$156.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.54 / $79.56 / $151.55	Professional		$60.54	$79.56	$151.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $68.83 / $82.87 / $92.25	Facility		$68.83	$82.87	$92.25
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $62.32 / $82.87 / $153.12	Professional		$62.32	$82.87	$153.12
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 $65.25 / $79.18 / $108.30	Professional		$65.25	$79.18	$108.30