Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $137.09 / $1,600.07 / $4,933.00	Facility		$137.09	$1,600.07	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.45 / $144.97 / $251.76	Professional		$106.45	$144.97	$251.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.84 / $185.84 / $185.84	Professional		$185.84	$185.84	$185.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,180.91 / $2,541.92 / $3,443.90	Facility		$2,180.91	$2,541.92	$3,443.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.99 / $141.37 / $222.66	Professional		$24.99	$141.37	$222.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.54 / $232.54 / $232.54	Facility		$232.54	$232.54	$232.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $117.33 / $163.93 / $503.56	Professional		$117.33	$163.93	$503.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $139.55 / $1,560.79 / $4,933.00	Facility		$139.55	$1,560.79	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $135.12 / $162.79 / $256.00	Professional		$135.12	$162.79	$256.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $153.25 / $215.06	Professional		$118.03	$153.25	$215.06
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $151.86 / $180.90 / $235.99	Professional		$151.86	$180.90	$235.99