Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $58.19 / $77.58 / $77.58	Facility		$58.19	$77.58	$77.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.19 / $97.00 / $155.00	Professional		$58.19	$97.00	$155.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.29 / $90.61 / $90.61	Professional		$90.29	$90.61	$90.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.58 / $104.58 / $104.58	Facility		$104.58	$104.58	$104.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.35 / $108.76 / $130.72	Professional		$99.35	$108.76	$130.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $66.52 / $86.48 / $105.01	Facility		$66.52	$86.48	$105.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $92.04 / $136.93	Professional		$68.54	$92.04	$136.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.08 / $81.28 / $142.54	Professional		$63.08	$81.28	$142.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $65.95 / $77.58 / $77.58	Facility		$65.95	$77.58	$77.58
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $64.28 / $81.45 / $165.31	Professional		$64.28	$81.45	$165.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $55.00 / $169.93	Professional		$30.00	$55.00	$169.93
United Facility/Professional Professional Modifier Low / Median / High Price $71.94 / $84.56 / $116.82	Professional		$71.94	$84.56	$116.82