Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.58 / $99.79 / $217.62	Facility		$66.58	$99.79	$217.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.26 / $62.93 / $83.22	Professional		$58.26	$62.93	$83.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.86 / $87.43 / $98.00	Professional		$82.86	$87.43	$98.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $176.44 / $351.53 / $640.25	Facility		$176.44	$351.53	$640.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $110.74 / $116.57 / $157.37	Professional		$110.74	$116.57	$157.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $73.29 / $112.76 / $173.14	Facility		$73.29	$112.76	$173.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $93.26 / $151.54 / $165.84	Professional		$93.26	$151.54	$165.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.22 / $68.22 / $73.06	Facility		$68.22	$68.22	$73.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.22 / $68.22 / $135.00	Professional		$68.22	$68.22	$135.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.28 / $99.79 / $217.62	Facility		$67.28	$99.79	$217.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.49 / $81.42 / $116.57	Professional		$60.49	$81.42	$116.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $70.73 / $86.26 / $99.19	Professional		$70.73	$86.26	$99.19
United Facility/Professional Professional Modifier Low / Median / High Price $39.34 / $54.75 / $83.45	Professional		$39.34	$54.75	$83.45