Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $96.81 / $134.80	Facility		$77.45	$96.81	$134.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.80 / $90.17 / $234.01	Professional		$56.80	$90.17	$234.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.65 / $102.55 / $167.41	Professional		$82.65	$102.55	$167.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.86 / $155.86 / $677.70	Facility		$155.86	$155.86	$677.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $141.69 / $163.65 / $194.83	Professional		$141.69	$163.65	$194.83
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 $100.80 / $125.93 / $196.09	Professional		$100.80	$125.93	$196.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.48 / $99.13 / $288.58	Professional		$63.48	$99.13	$288.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $85.94 / $101.33 / $134.80	Facility		$85.94	$101.33	$134.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $76.17 / $104.39 / $167.14	Professional		$76.17	$104.39	$167.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $110.61 / $189.15	Professional		$55.00	$110.61	$189.15
United Facility/Professional Professional Modifier Low / Median / High Price $91.45 / $109.24 / $144.07	Professional		$91.45	$109.24	$144.07