Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $60.49 / $96.17 / $214.81	Facility		$60.49	$96.17	$214.81
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.89 / $60.49 / $100.76	Professional		$56.89	$60.49	$100.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $79.44 / $79.44 / $105.92	Professional		$79.44	$79.44	$105.92
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 / $103.30 / $157.32	Facility		$62.34	$103.30	$157.32
CareSource Facility/Professional Professional Modifier Low / Median / High Price $84.74 / $134.26 / $148.29	Professional		$84.74	$134.26	$148.29
Cigna Facility/Professional Facility Modifier Low / Median / High Price $60.32 / $61.21 / $61.21	Facility		$60.32	$61.21	$61.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $60.32 / $61.21 / $122.63	Professional		$60.32	$61.21	$122.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $78.64 / $100.75 / $214.81	Facility		$78.64	$100.75	$214.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.04 / $84.73 / $112.89	Professional		$60.04	$84.73	$112.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $66.62 / $78.38 / $90.13	Professional		$66.62	$78.38	$90.13
United Facility/Professional Facility Modifier Low / Median / High Price $108.68 / $127.86 / $127.86	Facility		$108.68	$127.86	$127.86
United Facility/Professional Professional Modifier Low / Median / High Price $37.53 / $49.74 / $82.90	Professional		$37.53	$49.74	$82.90