Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.32 / $88.32 / $985.61	Facility		$88.32	$88.32	$985.61
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.59 / $88.32 / $88.32	Professional		$73.59	$88.32	$88.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $115.99 / $154.65 / $154.65	Professional		$115.99	$154.65	$154.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $234.08 / $466.36 / $849.40	Facility		$234.08	$466.36	$849.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $146.91 / $154.65 / $208.78	Professional		$146.91	$154.65	$208.78
CareSource Facility/Professional Facility Modifier Low / Median / High Price $98.10 / $100.52 / $101.05	Facility		$98.10	$100.52	$101.05
CareSource Facility/Professional Professional Modifier Low / Median / High Price $123.72 / $123.72 / $123.72	Professional		$123.72	$123.72	$123.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $100.03 / $100.03 / $100.03	Facility		$100.03	$100.03	$100.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $100.03 / $100.03 / $179.25	Professional		$100.03	$100.03	$179.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $111.74 / $881.71 / $985.61	Facility		$111.74	$881.71	$985.61
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.43 / $111.74 / $162.38	Professional		$82.43	$111.74	$162.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $93.84 / $114.44 / $131.60	Professional		$93.84	$114.44	$131.60
United Facility/Professional Professional Modifier Low / Median / High Price $57.43 / $73.93 / $109.29	Professional		$57.43	$73.93	$109.29