Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $319.52 / $936.47	Facility		$93.70	$319.52	$936.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $187.05 / $225.58	Professional		$167.55	$187.05	$225.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $311.94 / $311.94	Professional		$233.96	$311.94	$311.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.14 / $940.69 / $1,713.30	Facility		$472.14	$940.69	$1,713.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $311.94 / $421.12	Professional		$296.33	$311.94	$421.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.76 / $311.94 / $463.31	Facility		$202.76	$311.94	$463.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.55 / $405.52 / $464.00	Professional		$249.55	$405.52	$464.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $184.69 / $194.92 / $194.92	Facility		$184.69	$194.92	$194.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $184.69 / $194.92 / $361.50	Professional		$184.69	$194.92	$361.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $93.70 / $355.91 / $936.47	Facility		$93.70	$355.91	$936.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $177.71 / $225.42 / $332.79	Professional		$177.71	$225.42	$332.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.28 / $230.84 / $265.46	Professional		$189.28	$230.84	$265.46
United Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $154.24 / $223.26	Professional		$121.85	$154.24	$223.26