Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $18.25 / $133.61 / $244.90	Facility		$18.25	$133.61	$244.90
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.96 / $130.61 / $199.93	Professional		$117.96	$130.61	$199.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $188.17 / $233.96 / $233.96	Professional		$188.17	$233.96	$233.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $354.11 / $705.53 / $1,285.00	Facility		$354.11	$705.53	$1,285.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $222.26 / $233.96 / $315.85	Professional		$222.26	$233.96	$315.85
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.41 / $152.07 / $152.88	Facility		$148.41	$152.07	$152.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $187.17 / $187.17 / $187.17	Professional		$187.17	$187.17	$187.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $130.59 / $130.59	Facility		$130.59	$130.59	$130.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.59 / $130.59 / $271.13	Professional		$130.59	$130.59	$271.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $133.61 / $169.07 / $244.90	Facility		$133.61	$169.07	$244.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $125.54 / $169.07 / $271.70	Professional		$125.54	$169.07	$271.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $81.64 / $109.87 / $167.45	Professional		$81.64	$109.87	$167.45