Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $177.73 / $178.22 / $345.10	Facility		$177.73	$178.22	$345.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $174.76 / $208.79	Professional		$173.03	$174.76	$208.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $300.00 / $300.00 / $300.00	Professional		$300.00	$300.00	$300.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.28 / $370.38 / $705.75	Facility		$197.28	$370.38	$705.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $167.48 / $183.34 / $237.99	Professional		$167.48	$183.34	$237.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $172.55 / $189.81 / $259.55	Facility		$172.55	$189.81	$259.55
CareSource Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $181.68 / $401.16	Professional		$173.03	$181.68	$401.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $173.03 / $204.04	Professional		$173.03	$173.03	$204.04
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $311.02 / $494.53	Facility		$173.03	$311.02	$494.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $177.73 / $216.28	Professional		$173.03	$177.73	$216.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.92 / $181.41 / $247.38	Professional		$164.92	$181.41	$247.38
United Facility/Professional Facility Modifier Low / Median / High Price $173.03 / $173.03 / $173.03	Facility		$173.03	$173.03	$173.03
United Facility/Professional Professional Modifier Low / Median / High Price $173.03 / $192.62 / $217.40	Professional		$173.03	$192.62	$217.40