Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $102.64 / $144.53	Facility		$98.00	$102.64	$144.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.54 / $121.67 / $219.13	Professional		$81.54	$121.67	$219.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.80 / $125.61 / $146.04	Professional		$112.80	$125.61	$146.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.73 / $146.38 / $606.03	Facility		$123.73	$146.38	$606.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $136.46 / $152.25 / $182.99	Professional		$136.46	$152.25	$182.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $92.32 / $117.38 / $139.94	Facility		$92.32	$117.38	$139.94
CareSource Facility/Professional Professional Modifier Low / Median / High Price $129.57 / $162.54 / $253.96	Professional		$129.57	$162.54	$253.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.13 / $129.81 / $340.56	Professional		$90.13	$129.81	$340.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $98.00 / $130.22 / $159.12	Facility		$98.00	$130.22	$159.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.64 / $135.47 / $205.92	Professional		$102.64	$135.47	$205.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $76.91 / $148.59 / $189.15	Professional		$76.91	$148.59	$189.15
United Facility/Professional Professional Modifier Low / Median / High Price $119.02 / $140.00 / $185.01	Professional		$119.02	$140.00	$185.01