Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.27 / $117.69 / $136.59	Facility		$88.27	$117.69	$136.59
Aetna Facility/Professional Professional Modifier Low / Median / High Price $83.08 / $110.04 / $264.81	Professional		$83.08	$110.04	$264.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.14 / $114.05 / $178.97	Professional		$104.14	$114.05	$178.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $144.76 / $170.31 / $257.77	Facility		$144.76	$170.31	$257.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.52 / $177.12 / $212.89	Professional		$137.52	$177.12	$212.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.60 / $139.88 / $169.22	Facility		$107.60	$139.88	$169.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.42 / $148.28 / $221.22	Professional		$110.42	$148.28	$221.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.22 / $117.80 / $222.41	Professional		$89.22	$117.80	$222.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.04 / $117.69 / $157.07	Facility		$100.04	$117.69	$157.07
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $88.26 / $116.46 / $245.13	Professional		$88.26	$116.46	$245.13
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 $94.61 / $113.82 / $148.55	Professional		$94.61	$113.82	$148.55