Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $113.66 / $150.34	Facility		$94.72	$113.66	$150.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $70.04 / $116.29 / $273.60	Professional		$70.04	$116.29	$273.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $93.31 / $116.07 / $197.60	Professional		$93.31	$116.07	$197.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.46 / $127.86 / $526.24	Facility		$125.46	$127.86	$526.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.19 / $132.97 / $159.83	Professional		$119.19	$132.97	$159.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.95 / $102.79 / $122.56	Facility		$80.95	$102.79	$122.56
CareSource Facility/Professional Professional Modifier Low / Median / High Price $113.09 / $142.01 / $222.05	Professional		$113.09	$142.01	$222.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.25 / $111.84 / $298.73	Professional		$73.25	$111.84	$298.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $94.72 / $113.66 / $151.54	Facility		$94.72	$113.66	$151.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $90.20 / $120.26 / $224.20	Professional		$90.20	$120.26	$224.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.34 / $131.79 / $149.93	Professional		$81.34	$131.79	$149.93
United Facility/Professional Professional Modifier Low / Median / High Price $100.31 / $121.98 / $160.60	Professional		$100.31	$121.98	$160.60