Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.54 / $123.01 / $151.30	Facility		$101.54	$123.01	$151.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.47 / $123.01 / $284.97	Professional		$75.47	$123.01	$284.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.11 / $123.41 / $208.00	Professional		$112.11	$123.41	$208.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.26 / $135.86 / $545.36	Facility		$133.26	$135.86	$545.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.60 / $141.29 / $169.83	Professional		$126.60	$141.29	$169.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.90 / $111.63 / $133.10	Facility		$87.90	$111.63	$133.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $120.23 / $151.05 / $236.36	Professional		$120.23	$151.05	$236.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.84 / $119.48 / $350.26	Professional		$81.84	$119.48	$350.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $101.54 / $123.01 / $159.61	Facility		$101.54	$123.01	$159.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $94.46 / $127.68 / $250.04	Professional		$94.46	$127.68	$250.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $69.00 / $134.83 / $134.83	Professional		$69.00	$134.83	$134.83
United Facility/Professional Professional Modifier Low / Median / High Price $109.88 / $130.19 / $172.10	Professional		$109.88	$130.19	$172.10