Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $188.92 / $188.98 / $330.61	Facility		$188.92	$188.98	$330.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $183.47 / $185.31 / $221.93	Professional		$183.47	$185.31	$221.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.26 / $376.48 / $762.53	Facility		$195.26	$376.48	$762.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $177.59 / $194.42 / $252.37	Professional		$177.59	$194.42	$252.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.41 / $201.75 / $275.22	Facility		$183.41	$201.75	$275.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $192.65 / $425.41	Professional		$183.48	$192.65	$425.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $183.48 / $216.37	Professional		$183.48	$183.48	$216.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $183.48 / $226.70 / $525.66	Facility		$183.48	$226.70	$525.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $188.92 / $238.11	Professional		$183.48	$188.92	$238.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $180.22 / $198.24 / $270.33	Professional		$180.22	$198.24	$270.33
United Facility/Professional Professional Modifier Low / Median / High Price $183.48 / $204.25 / $227.53	Professional		$183.48	$204.25	$227.53