Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.49 / $60.49 / $132.53	Facility		$60.49	$60.49	$132.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $60.49 / $99.82	Professional		$55.45	$60.49	$99.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.72 / $76.72 / $76.72	Professional		$76.72	$76.72	$76.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $160.32 / $319.41 / $581.76	Facility		$160.32	$319.41	$581.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.62 / $105.92 / $142.99	Professional		$100.62	$105.92	$142.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.34 / $67.15 / $68.84	Facility		$62.34	$67.15	$68.84
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $84.74 / $84.74	Professional		$84.74	$84.74	$84.74
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.92 / $59.92 / $59.92	Facility		$59.92	$59.92	$59.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.74 / $88.07 / $153.28	Professional		$43.74	$88.07	$153.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.49 / $76.54 / $132.53	Facility		$60.49	$76.54	$132.53
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $57.60 / $76.54 / $111.21	Professional		$57.60	$76.54	$111.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.27 / $78.38 / $90.13	Professional		$64.27	$78.38	$90.13
United Facility/Professional Professional Modifier Low / Median / High Price $36.86 / $49.74 / $75.81	Professional		$36.86	$49.74	$75.81