Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.34 / $109.18 / $146.75	Facility		$87.34	$109.18	$146.75
Aetna Facility/Professional Professional Modifier Low / Median / High Price $64.93 / $99.99 / $254.75	Professional		$64.93	$99.99	$254.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $112.38 / $191.74	Professional		$104.87	$112.38	$191.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.56 / $124.23 / $516.71	Facility		$122.56	$124.23	$516.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.43 / $124.23 / $155.29	Professional		$116.43	$124.23	$155.29
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 $110.11 / $137.88 / $215.21	Professional		$110.11	$137.88	$215.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.34 / $109.29 / $322.36	Professional		$72.34	$109.29	$322.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $96.94 / $110.16 / $146.75	Facility		$96.94	$110.16	$146.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $115.32 / $195.28	Professional		$86.10	$115.32	$195.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $61.08 / $120.58 / $189.15	Professional		$61.08	$120.58	$189.15
United Facility/Professional Professional Modifier Low / Median / High Price $99.92 / $119.28 / $157.86	Professional		$99.92	$119.28	$157.86