Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $75.23 / $146.10 / $370.57	Facility		$75.23	$146.10	$370.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.19 / $75.23 / $146.86	Professional		$73.19	$75.23	$146.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $72.73 / $72.73	Professional		$72.73	$72.73	$72.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.18 / $163.01 / $304.20	Facility		$88.18	$163.01	$304.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $76.13 / $173.00	Professional		$73.20	$76.13	$173.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.05 / $80.36 / $109.80	Facility		$73.05	$80.36	$109.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $76.86 / $169.71	Professional		$73.20	$76.86	$169.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $73.20 / $87.83	Professional		$73.20	$73.20	$87.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $73.20 / $146.72 / $234.75	Facility		$73.20	$146.72	$234.75
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $75.23 / $125.50	Professional		$73.20	$75.23	$125.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $72.73 / $80.00 / $109.09	Professional		$72.73	$80.00	$109.09
United Facility/Professional Professional Modifier Low / Median / High Price $73.20 / $81.48 / $90.78	Professional		$73.20	$81.48	$90.78