Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $89.69 / $587.78 / $718.84	Facility		$89.69	$587.78	$718.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $75.77 / $84.85 / $93.21	Professional		$75.77	$84.85	$93.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.34 / $117.79 / $157.05	Professional		$88.34	$117.79	$157.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $237.71 / $473.60 / $862.58	Facility		$237.71	$473.60	$862.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.19 / $157.05 / $212.02	Professional		$149.19	$157.05	$212.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $95.33 / $146.66 / $233.26	Facility		$95.33	$146.66	$233.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $125.64 / $204.17 / $219.87	Professional		$125.64	$204.17	$219.87
Cigna Facility/Professional Facility Modifier Low / Median / High Price $102.60 / $102.60 / $102.60	Facility		$102.60	$102.60	$102.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $102.60 / $102.60 / $182.25	Professional		$102.60	$102.60	$182.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $113.50 / $587.78 / $718.84	Facility		$113.50	$587.78	$718.84
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $84.34 / $113.50 / $188.46	Professional		$84.34	$113.50	$188.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.30 / $116.22 / $133.65	Professional		$95.30	$116.22	$133.65
United Facility/Professional Professional Modifier Low / Median / High Price $58.74 / $73.76 / $112.41	Professional		$58.74	$73.76	$112.41