Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $80.72 / $156.94	Facility		$80.70	$80.72	$156.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $79.15 / $94.95	Professional		$78.37	$79.15	$94.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $78.47 / $78.47 / $78.47	Professional		$78.47	$78.47	$78.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $89.35 / $167.75 / $319.63	Facility		$89.35	$167.75	$319.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $75.84 / $83.03 / $107.78	Professional		$75.84	$83.03	$107.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $86.21 / $117.71	Facility		$78.37	$86.21	$117.71
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $82.29 / $181.70	Professional		$78.37	$82.29	$181.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $78.37 / $92.42	Professional		$78.37	$78.37	$92.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $78.37 / $156.94 / $18,041.59	Facility		$78.37	$156.94	$18,041.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $80.70 / $97.96	Professional		$78.37	$80.70	$97.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $77.52 / $85.27 / $116.28	Professional		$77.52	$85.27	$116.28
United Facility/Professional Professional Modifier Low / Median / High Price $78.37 / $87.24 / $100.33	Professional		$78.37	$87.24	$100.33