Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $34.59 / $108.71 / $256.23	Facility		$34.59	$108.71	$256.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.88 / $80.09 / $95.76	Professional		$56.88	$80.09	$95.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.22 / $57.22 / $57.22	Professional		$57.22	$57.22	$57.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.46 / $128.27 / $227.33	Facility		$89.46	$128.27	$227.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.36 / $85.82 / $115.86	Professional		$58.36	$85.82	$115.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.82 / $114.43 / $279.66	Facility		$85.82	$114.43	$279.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $74.38 / $74.38 / $114.43	Professional		$74.38	$74.38	$114.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.58 / $119.63 / $149.53	Professional		$51.58	$119.63	$149.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.64 / $108.71 / $279.39	Facility		$41.64	$108.71	$279.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $48.53 / $75.91 / $137.31	Professional		$48.53	$75.91	$137.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $85.27 / $94.75 / $127.91	Professional		$85.27	$94.75	$127.91
United Facility/Professional Professional Modifier Low / Median / High Price $21.66 / $45.55 / $68.66	Professional		$21.66	$45.55	$68.66