Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.92 / $107.89 / $107.89	Facility		$80.92	$107.89	$107.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $85.60 / $123.60 / $185.16	Professional		$85.60	$123.60	$185.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.07 / $141.57 / $169.88	Professional		$84.07	$141.57	$169.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.90 / $147.90 / $147.90	Facility		$147.90	$147.90	$147.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.51 / $153.82 / $184.88	Professional		$140.51	$153.82	$184.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $121.93 / $147.78	Facility		$93.79	$121.93	$147.78
CareSource Facility/Professional Professional Modifier Low / Median / High Price $96.37 / $129.41 / $193.06	Professional		$96.37	$129.41	$193.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.80 / $124.41 / $218.78	Professional		$93.80	$124.41	$218.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.71 / $107.89 / $110.43	Facility		$91.71	$107.89	$110.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.70 / $121.05 / $236.18	Professional		$91.70	$121.05	$236.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $63.26 / $169.93	Professional		$30.00	$63.26	$169.93
United Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $126.66 / $162.57	Professional		$102.73	$126.66	$162.57