Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $70.84 / $70.84	Facility		$70.84	$70.84	$70.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.32 / $66.64 / $73.30	Professional		$57.32	$66.64	$73.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $106.51 / $106.51	Professional		$106.51	$106.51	$106.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.74 / $374.06 / $681.28	Facility		$187.74	$374.06	$681.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $117.84 / $124.04 / $167.45	Professional		$117.84	$124.04	$167.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $72.12 / $80.63 / $95.33	Facility		$72.12	$80.63	$95.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $99.23 / $99.23 / $99.23	Professional		$99.23	$99.23	$99.23
Cigna Facility/Professional Facility Modifier Low / Median / High Price $84.33 / $88.85 / $88.85	Facility		$84.33	$88.85	$88.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $84.33 / $88.85 / $143.63	Professional		$84.33	$88.85	$143.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $70.84 / $89.62 / $89.62	Facility		$70.84	$89.62	$89.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.64 / $89.62 / $139.51	Professional		$66.64	$89.62	$139.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.26 / $91.79 / $105.55	Professional		$75.26	$91.79	$105.55
United Facility/Professional Professional Modifier Low / Median / High Price $43.34 / $58.24 / $88.76	Professional		$43.34	$58.24	$88.76