Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $95.62 / $121.09	Facility		$81.28	$95.62	$121.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.86 / $105.00 / $148.52	Professional		$75.86	$105.00	$148.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.70 / $105.80 / $158.69	Professional		$83.70	$105.80	$158.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $130.97 / $130.97 / $130.97	Facility		$130.97	$130.97	$130.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $124.42 / $137.52 / $176.81	Professional		$124.42	$137.52	$176.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $83.16 / $105.66 / $124.79	Facility		$83.16	$105.66	$124.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.83 / $136.84 / $214.47	Professional		$108.83	$136.84	$214.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.08 / $120.59 / $209.12	Professional		$84.08	$120.59	$209.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.28 / $119.71 / $137.66	Facility		$81.28	$119.71	$137.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.28 / $117.51 / $155.62	Professional		$81.28	$117.51	$155.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.08 / $99.27 / $148.37	Professional		$81.08	$99.27	$148.37
United Facility/Professional Professional Modifier Low / Median / High Price $113.36 / $138.31 / $169.82	Professional		$113.36	$138.31	$169.82