Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $94.45 / $100.17	Facility		$19.64	$94.45	$100.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $94.43 / $104.51	Professional		$92.03	$94.43	$104.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.57 / $83.57 / $91.04	Professional		$83.57	$83.57	$91.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $94.45 / $145.41 / $145.41	Facility		$94.45	$145.41	$145.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.19 / $152.68 / $181.76	Professional		$132.19	$152.68	$181.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $90.59 / $113.80 / $135.88	Facility		$90.59	$113.80	$135.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.77 / $117.77 / $149.19	Professional		$93.77	$117.77	$149.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.90 / $86.90 / $139.07	Professional		$86.90	$86.90	$139.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.64 / $94.45 / $98.27	Facility		$19.64	$94.45	$98.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $92.03 / $94.43 / $133.44	Professional		$92.03	$94.43	$133.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $85.00 / $101.23 / $125.93	Professional		$85.00	$101.23	$125.93