Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $187.34 / $324.00 / $2,878.00	Facility		$187.34	$324.00	$2,878.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $114.98 / $201.24 / $281.81	Professional		$114.98	$201.24	$281.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $120.80 / $120.80 / $168.93	Professional		$120.80	$120.80	$168.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.01 / $856.68 / $1,160.67	Facility		$735.01	$856.68	$1,160.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.88 / $113.55 / $239.05	Professional		$30.88	$113.55	$239.05
CareSource Facility/Professional Facility Modifier Low / Median / High Price $151.03 / $166.13 / $224.31	Facility		$151.03	$166.13	$224.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $232.47 / $247.76 / $369.09	Professional		$232.47	$247.76	$369.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.18 / $214.63 / $684.84	Professional		$138.18	$214.63	$684.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $187.34 / $822.81 / $4,933.00	Facility		$187.34	$822.81	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $120.73 / $246.49 / $321.73	Professional		$120.73	$246.49	$321.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $219.44 / $305.01	Professional		$176.26	$219.44	$305.01
United Facility/Professional Facility Modifier Low / Median / High Price $313.16 / $1,247.00 / $2,029.00	Facility		$313.16	$1,247.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $226.51 / $271.45 / $371.71	Professional		$226.51	$271.45	$371.71