Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.48 / $149.97 / $149.97	Facility		$112.48	$149.97	$149.97
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.00 / $153.30 / $321.42	Professional		$124.00	$153.30	$321.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.30 / $177.28 / $195.45	Professional		$130.30	$177.28	$195.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $204.67 / $204.67 / $204.67	Facility		$204.67	$204.67	$204.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $194.44 / $212.86 / $255.84	Professional		$194.44	$212.86	$255.84
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.57 / $168.44 / $204.16	Facility		$129.57	$168.44	$204.16
CareSource Facility/Professional Professional Modifier Low / Median / High Price $133.54 / $179.32 / $266.11	Professional		$133.54	$179.32	$266.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.12 / $179.97 / $311.35	Professional		$130.12	$179.97	$311.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $127.48 / $149.97 / $158.29	Facility		$127.48	$149.97	$158.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $127.48 / $158.29 / $316.14	Professional		$127.48	$158.29	$316.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $87.54 / $227.83	Professional		$30.00	$87.54	$227.83
United Facility/Professional Professional Modifier Low / Median / High Price $147.10 / $183.62 / $236.39	Professional		$147.10	$183.62	$236.39