Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.03 / $75.03 / $92.26	Facility		$75.03	$75.03	$92.26
Aetna Facility/Professional Professional Modifier Low / Median / High Price $60.47 / $75.03 / $184.96	Professional		$60.47	$75.03	$184.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.45 / $71.45 / $71.45	Professional		$71.45	$71.45	$71.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $43.53 / $86.73 / $157.96	Facility		$43.53	$86.73	$157.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.24 / $110.83 / $133.21	Professional		$101.24	$110.83	$133.21
CareSource Facility/Professional Facility Modifier Low / Median / High Price $67.77 / $88.10 / $106.86	Facility		$67.77	$88.10	$106.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $69.50 / $93.33 / $139.85	Professional		$69.50	$93.33	$139.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $62.43 / $81.50 / $141.88	Professional		$62.43	$81.50	$141.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.78 / $70.78 / $75.03	Facility		$70.78	$70.78	$75.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.93 / $80.41 / $177.78	Professional		$69.93	$80.41	$177.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $101.62 / $146.34	Professional		$82.48	$101.62	$146.34
United Facility/Professional Professional Modifier Low / Median / High Price $68.54 / $83.44 / $107.94	Professional		$68.54	$83.44	$107.94