Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $96.81 / $134.38	Facility		$77.45	$96.81	$134.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.94 / $94.79 / $243.87	Professional		$59.94	$94.79	$243.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.93 / $100.00 / $148.76	Professional		$71.93	$100.00	$148.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $112.37 / $113.70 / $494.38	Facility		$112.37	$113.70	$494.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $113.70 / $142.13	Professional		$106.75	$113.70	$142.13
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 / $98.78 / $288.58	Professional		$63.48	$98.78	$288.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $77.45 / $101.00 / $134.38	Facility		$77.45	$101.00	$134.38
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.45 / $107.51 / $206.72	Professional		$77.45	$107.51	$206.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $109.18 / $189.15	Professional		$55.00	$109.18	$189.15
United Facility/Professional Professional Modifier Low / Median / High Price $91.06 / $108.27 / $143.25	Professional		$91.06	$108.27	$143.25