Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $81.67 / $108.89 / $108.89	Facility		$81.67	$108.89	$108.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.29 / $92.79 / $130.71	Professional		$75.29	$92.79	$130.71
Ambetter Facility/Professional Professional Modifier 25 Low / Median / High Price $90.81 / $90.81 / $90.81	Professional	25	$90.81	$90.81	$90.81
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.09 / $160.35 / $257.77	Facility		$135.09	$160.35	$257.77
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.22 / $160.35 / $178.36	Professional		$150.22	$160.35	$178.36
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.60 / $125.60 / $125.60	Facility		$125.60	$125.60	$125.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.28 / $128.77 / $228.22	Professional		$75.28	$128.77	$228.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.44 / $108.89 / $108.89	Facility		$85.44	$108.89	$108.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.67 / $100.39 / $146.16	Professional		$81.67	$100.39	$146.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $92.38 / $98.68 / $116.28	Professional		$92.38	$98.68	$116.28
United Facility/Professional Facility Modifier Low / Median / High Price $111.17 / $111.17 / $111.17	Facility		$111.17	$111.17	$111.17
United Facility/Professional Professional Modifier Low / Median / High Price $78.84 / $98.16 / $125.82	Professional		$78.84	$98.16	$125.82