Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.68 / $149.60 / $192.54	Facility		$119.68	$149.60	$192.54
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.07 / $137.80 / $276.45	Professional		$94.07	$137.80	$276.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.95 / $140.29 / $192.45	Professional		$112.95	$140.29	$192.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.38 / $163.10 / $641.09	Facility		$160.38	$163.10	$641.09
BCBS Facility/Professional Professional Modifier Low / Median / High Price $152.36 / $169.62 / $203.88	Professional		$152.36	$169.62	$203.88
CareSource Facility/Professional Facility Modifier Low / Median / High Price $107.20 / $136.32 / $162.53	Facility		$107.20	$136.32	$162.53
CareSource Facility/Professional Professional Modifier Low / Median / High Price $144.55 / $181.49 / $284.02	Professional		$144.55	$181.49	$284.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $150.07 / $395.52	Professional		$100.21	$150.07	$395.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $125.66 / $149.60 / $192.54	Facility		$125.66	$149.60	$192.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $117.03 / $154.03 / $239.26	Professional		$117.03	$154.03	$239.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.33 / $132.36 / $196.99	Professional		$107.33	$132.36	$196.99
United Facility/Professional Professional Modifier Low / Median / High Price $135.21 / $160.55 / $212.66	Professional		$135.21	$160.55	$212.66