Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $56.20 / $56.20 / $56.20	Facility		$56.20	$56.20	$56.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.51 / $56.20 / $57.02	Professional		$51.51	$56.20	$57.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $98.41 / $98.41 / $98.41	Professional		$98.41	$98.41	$98.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.94 / $296.77 / $540.51	Facility		$148.94	$296.77	$540.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.49 / $98.41 / $132.85	Professional		$93.49	$98.41	$132.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $57.19 / $63.97 / $76.26	Facility		$57.19	$63.97	$76.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $78.73 / $78.73 / $78.73	Professional		$78.73	$78.73	$78.73
Cigna Facility/Professional Facility Modifier Low / Median / High Price $65.90 / $65.90 / $65.90	Facility		$65.90	$65.90	$65.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.90 / $65.90 / $114.00	Professional		$65.90	$65.90	$114.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $56.20 / $71.09 / $71.09	Facility		$56.20	$71.09	$71.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.42 / $71.09 / $103.33	Professional		$53.42	$71.09	$103.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $59.71 / $72.81 / $83.74	Professional		$59.71	$72.81	$83.74
United Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $46.21 / $70.42	Professional		$34.36	$46.21	$70.42