Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $111.40 / $152.13	Facility		$87.34	$111.40	$152.13
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.83 / $100.22 / $191.83	Professional		$64.83	$100.22	$191.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.08 / $99.59 / $136.26	Professional		$82.08	$99.59	$136.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $127.28 / $129.68 / $564.49	Facility		$127.28	$129.68	$564.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.92 / $129.68 / $162.10	Professional		$120.92	$129.68	$162.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.06 / $99.50 / $118.64	Facility		$78.06	$99.50	$118.64
CareSource Facility/Professional Professional Modifier Low / Median / High Price $114.82 / $143.63 / $223.82	Professional		$114.82	$143.63	$223.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $117.34 / $329.42	Professional		$72.34	$117.34	$329.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $109.18 / $114.75 / $152.13	Facility		$109.18	$114.75	$152.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.22 / $116.68 / $162.63	Professional		$86.22	$116.68	$162.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $137.19 / $137.19	Professional		$61.08	$137.19	$137.19
United Facility/Professional Professional Modifier Low / Median / High Price $105.86 / $123.98 / $163.87	Professional		$105.86	$123.98	$163.87