Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.45 / $223.71 / $375.89	Facility		$75.45	$223.71	$375.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $84.93 / $305.60	Professional		$81.86	$84.93	$305.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.63 / $111.63 / $111.63	Professional		$111.63	$111.63	$111.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $135.94 / $187.23 / $332.94	Facility		$135.94	$187.23	$332.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.41 / $125.69 / $150.83	Professional		$119.41	$125.69	$150.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $103.14 / $113.45 / $146.38	Facility		$103.14	$113.45	$146.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $146.38 / $169.86 / $226.27	Professional		$146.38	$169.86	$226.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $86.98 / $136.80	Professional		$86.98	$86.98	$136.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.86 / $230.13 / $593.89	Facility		$81.86	$230.13	$593.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $81.86 / $90.39 / $194.14	Professional		$81.86	$90.39	$194.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.11 / $111.11 / $138.88	Professional		$111.11	$111.11	$138.88
United Facility/Professional Facility Modifier Low / Median / High Price $102.33 / $102.33 / $102.33	Facility		$102.33	$102.33	$102.33
United Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $85.27 / $92.09	Professional		$85.27	$85.27	$92.09