Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $94.07 / $121.88 / $12,172.32	Facility		$94.07	$121.88	$12,172.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $92.25 / $110.13	Professional		$91.34	$92.25	$110.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $91.02 / $165.96	Professional		$89.39	$91.02	$165.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $97.20 / $187.41 / $379.59	Facility		$97.20	$187.41	$379.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $88.41 / $96.78 / $125.63	Professional		$88.41	$96.78	$125.63
CareSource Facility/Professional Facility Modifier Low / Median / High Price $91.02 / $100.12 / $137.01	Facility		$91.02	$100.12	$137.01
CareSource Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $95.91 / $211.77	Professional		$91.34	$95.91	$211.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $91.34 / $107.71	Professional		$91.34	$91.34	$107.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $91.34 / $182.04 / $12,172.32	Facility		$91.34	$182.04	$12,172.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $93.75 / $121.88	Professional		$91.34	$93.75	$121.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.39 / $98.32 / $134.08	Professional		$89.39	$98.32	$134.08
United Facility/Professional Professional Modifier Low / Median / High Price $91.34 / $101.68 / $115.92	Professional		$91.34	$101.68	$115.92