Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.40 / $104.59 / $146.35	Facility		$82.40	$104.59	$146.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.75 / $99.37 / $183.18	Professional		$64.75	$99.37	$183.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $112.96 / $144.21	Professional		$77.56	$112.96	$144.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $171.30 / $171.30 / $760.78	Facility		$171.30	$171.30	$760.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $155.72 / $179.87 / $214.13	Professional		$155.72	$179.87	$214.13
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.66 / $93.74 / $111.77	Facility		$73.66	$93.74	$111.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $110.48 / $138.28 / $215.43	Professional		$110.48	$138.28	$215.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $112.07 / $284.12	Professional		$72.34	$112.07	$284.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.00 / $110.56 / $146.35	Facility		$103.00	$110.56	$146.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $80.48 / $110.56 / $154.57	Professional		$80.48	$110.56	$154.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $140.04 / $140.04	Professional		$61.08	$140.04	$140.04
United Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $121.08 / $156.94	Professional		$103.77	$121.08	$156.94