Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $98.23 / $140.16	Facility		$77.45	$98.23	$140.16
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.20 / $96.65 / $229.75	Professional		$57.20	$96.65	$229.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $107.33 / $139.53	Professional		$71.93	$107.33	$139.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $163.34 / $163.34 / $743.30	Facility		$163.34	$163.34	$743.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.49 / $171.51 / $204.18	Professional		$148.49	$171.51	$204.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $68.58 / $87.58 / $104.42	Facility		$68.58	$87.58	$104.42
CareSource Facility/Professional Professional Modifier Low / Median / High Price $105.49 / $131.68 / $204.70	Professional		$105.49	$131.68	$204.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $105.05 / $288.58	Professional		$63.48	$105.05	$288.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.31 / $106.24 / $140.16	Facility		$81.31	$106.24	$140.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $109.03 / $169.69	Professional		$77.45	$109.03	$169.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $130.08 / $189.15	Professional		$55.00	$130.08	$189.15
United Facility/Professional Professional Modifier Low / Median / High Price $96.21 / $115.38 / $149.57	Professional		$96.21	$115.38	$149.57