Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.74 / $123.43 / $166.79	Facility		$98.74	$123.43	$166.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.89 / $118.51 / $281.76	Professional		$77.89	$118.51	$281.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $109.24 / $128.52 / $218.79	Professional		$109.24	$128.52	$218.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $139.28 / $141.66 / $590.02	Facility		$139.28	$141.66	$590.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $147.34 / $177.09	Professional		$132.32	$147.34	$177.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.55 / $112.46 / $134.09	Facility		$88.55	$112.46	$134.09
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.29 / $157.25 / $245.74	Professional		$125.29	$157.25	$245.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $125.87 / $365.40	Professional		$81.84	$125.87	$365.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.67 / $126.63 / $166.79	Facility		$103.67	$126.63	$166.79
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.73 / $133.43 / $202.16	Professional		$98.73	$133.43	$202.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.17 / $132.11 / $196.99	Professional		$107.17	$132.11	$196.99
United Facility/Professional Professional Modifier Low / Median / High Price $115.04 / $135.77 / $178.65	Professional		$115.04	$135.77	$178.65