Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $305.27 / $617.76	Facility		$102.48	$305.27	$617.76
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $106.31 / $389.83	Professional		$102.48	$106.31	$389.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $95.68 / $117.87 / $165.84	Professional		$95.68	$117.87	$165.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $138.55 / $190.82 / $339.32	Facility		$138.55	$190.82	$339.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $128.10 / $153.72	Professional		$121.70	$128.10	$153.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $117.87 / $129.66 / $167.30	Facility		$117.87	$129.66	$167.30
CareSource Facility/Professional Professional Modifier Low / Median / High Price $167.30 / $194.12 / $258.58	Professional		$167.30	$194.12	$258.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $108.89 / $109.99 / $109.99	Professional		$108.89	$109.99	$109.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $102.48 / $303.14 / $909.77	Facility		$102.48	$303.14	$909.77
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $102.48 / $125.59 / $300.00	Professional		$102.48	$125.59	$300.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $121.70 / $121.70 / $152.12	Professional		$121.70	$121.70	$152.12
United Facility/Professional Professional Modifier Low / Median / High Price $450.58 / $450.58 / $485.64	Professional		$450.58	$450.58	$485.64