Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.43 / $63.54 / $81.84	Facility		$50.43	$63.54	$81.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.93 / $56.48 / $92.36	Professional		$43.93	$56.48	$92.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $52.16 / $52.16 / $59.61	Professional		$52.16	$52.16	$59.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $70.22 / $70.22 / $367.30	Facility		$70.22	$70.22	$367.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $66.70 / $73.73 / $94.80	Professional		$66.70	$73.73	$94.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.57 / $56.97 / $67.92	Facility		$44.57	$56.97	$67.92
CareSource Facility/Professional Professional Modifier Low / Median / High Price $60.42 / $75.56 / $118.00	Professional		$60.42	$75.56	$118.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.26 / $66.52 / $166.30	Professional		$45.26	$66.52	$166.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.48 / $63.54 / $81.84	Facility		$56.48	$63.54	$81.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.45 / $60.66 / $92.36	Professional		$48.45	$60.66	$92.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $59.74 / $108.67	Professional		$39.83	$59.74	$108.67
United Facility/Professional Professional Modifier Low / Median / High Price $60.45 / $71.00 / $86.38	Professional		$60.45	$71.00	$86.38