Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $91.50 / $91.50 / $91.50	Facility		$91.50	$91.50	$91.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $123.34 / $135.66	Professional		$71.43	$123.34	$135.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.37 / $71.37 / $71.37	Professional		$71.37	$71.37	$71.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $105.75 / $105.75 / $105.75	Facility		$105.75	$105.75	$105.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.46 / $111.04 / $142.76	Professional		$100.46	$111.04	$142.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.75 / $94.33 / $120.05	Facility		$85.75	$94.33	$120.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $111.48 / $121.71 / $198.47	Professional		$111.48	$121.71	$198.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.14 / $73.14 / $385.38	Professional		$73.14	$73.14	$385.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.43 / $22.43 / $91.50	Facility		$22.43	$22.43	$91.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $71.37 / $135.66	Professional		$22.43	$71.37	$135.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $100.00 / $100.00 / $100.00	Professional		$100.00	$100.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $60.68 / $95.13 / $119.22	Professional		$60.68	$95.13	$119.22