Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $86.50 / $86.50	Facility		$86.50	$86.50	$86.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.08 / $86.50 / $86.50	Professional		$72.08	$86.50	$86.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.60 / $113.60 / $113.60	Professional		$113.60	$113.60	$113.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.24 / $456.74 / $831.88	Facility		$229.24	$456.74	$831.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $143.88 / $151.46 / $204.47	Professional		$143.88	$151.46	$204.47
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.08 / $98.45 / $98.96	Facility		$96.08	$98.45	$98.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $121.17 / $121.17 / $121.17	Professional		$121.17	$121.17	$121.17
Cigna Facility/Professional Facility Modifier Low / Median / High Price $98.15 / $98.15 / $98.15	Facility		$98.15	$98.15	$98.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.15 / $98.15 / $175.50	Professional		$98.15	$98.15	$175.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $86.50 / $109.44 / $109.44	Facility		$86.50	$109.44	$109.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.50 / $109.44 / $159.03	Professional		$86.50	$109.44	$159.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $95.26 / $112.08 / $128.89	Professional		$95.26	$112.08	$128.89
United Facility/Professional Professional Modifier Low / Median / High Price $56.24 / $72.40 / $121.32	Professional		$56.24	$72.40	$121.32