Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.41 / $125.13 / $192.35	Facility		$44.41	$125.13	$192.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.49 / $47.90 / $65.09	Professional		$38.49	$47.90	$65.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.78 / $65.78 / $70.00	Professional		$65.78	$65.78	$70.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $104.27 / $207.74 / $378.37	Facility		$104.27	$207.74	$378.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.45 / $68.89 / $93.00	Professional		$65.45	$68.89	$93.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $44.78 / $68.89 / $102.32	Facility		$44.78	$68.89	$102.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $55.11 / $89.56 / $105.28	Professional		$55.11	$89.56	$105.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $67.14 / $67.14 / $76.52	Facility		$67.14	$67.14	$76.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.14 / $67.14 / $83.34	Professional		$67.14	$67.14	$83.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $44.40 / $125.13 / $192.35	Facility		$44.40	$125.13	$192.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.40 / $65.09 / $86.11	Professional		$44.40	$65.09	$86.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.22 / $64.91 / $74.64	Professional		$53.22	$64.91	$74.64
United Facility/Professional Professional Modifier Low / Median / High Price $33.34 / $49.17 / $75.33	Professional		$33.34	$49.17	$75.33