Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $83.98 / $83.98 / $83.98	Facility		$83.98	$83.98	$83.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.45 / $78.98 / $83.98	Professional		$69.45	$78.98	$83.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $99.03 / $110.30 / $110.30	Professional		$99.03	$110.30	$110.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $222.59 / $443.47 / $807.71	Facility		$222.59	$443.47	$807.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.71 / $147.06 / $198.53	Professional		$139.71	$147.06	$198.53
CareSource Facility/Professional Facility Modifier Low / Median / High Price $85.83 / $89.26 / $95.59	Facility		$85.83	$89.26	$95.59
CareSource Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $117.65 / $117.65	Professional		$117.65	$117.65	$117.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $92.98 / $92.98 / $92.98	Facility		$92.98	$92.98	$92.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.88 / $122.28 / $213.28	Professional		$67.88	$122.28	$213.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $83.98 / $106.29 / $106.29	Facility		$83.98	$106.29	$106.29
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $76.04 / $106.29 / $150.00	Professional		$76.04	$106.29	$150.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.23 / $108.82 / $125.14	Professional		$89.23	$108.82	$125.14
United Facility/Professional Professional Modifier Low / Median / High Price $49.46 / $68.51 / $105.27	Professional		$49.46	$68.51	$105.27