Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $125.34 / $125.34 / $125.34	Facility		$125.34	$125.34	$125.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $96.77 / $125.34 / $326.20	Professional		$96.77	$125.34	$326.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.90 / $100.90 / $100.90	Professional		$100.90	$100.90	$100.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $177.29 / $177.29 / $177.29	Facility		$177.29	$177.29	$177.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $166.18 / $186.15 / $221.61	Professional		$166.18	$186.15	$221.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $112.73 / $142.44 / $183.35	Facility		$112.73	$142.44	$183.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.12 / $146.55 / $185.65	Professional		$111.12	$146.55	$185.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $138.29 / $138.29 / $138.29	Facility		$138.29	$138.29	$138.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.32 / $145.91 / $379.22	Professional		$104.32	$145.91	$379.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $118.70 / $123.11 / $158.12	Facility		$118.70	$123.11	$158.12
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $111.44 / $128.15 / $314.56	Professional		$111.44	$128.15	$314.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.65 / $136.59 / $196.26	Professional		$108.65	$136.59	$196.26
United Facility/Professional Facility Modifier Low / Median / High Price $267.20 / $267.20 / $267.20	Facility		$267.20	$267.20	$267.20
United Facility/Professional Professional Modifier Low / Median / High Price $114.34 / $138.06 / $188.15	Professional		$114.34	$138.06	$188.15