Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $225.20 / $822.86 / $4,933.00	Facility		$225.20	$822.86	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $226.51 / $348.97	Professional		$129.61	$226.51	$348.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.44 / $193.46 / $233.32	Professional		$138.44	$193.46	$233.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $943.85 / $1,100.08 / $1,490.44	Facility		$943.85	$1,100.08	$1,490.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.27 / $181.14 / $379.37	Professional		$49.27	$181.14	$379.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $180.96 / $199.06 / $268.77	Facility		$180.96	$199.06	$268.77
CareSource Facility/Professional Professional Modifier Low / Median / High Price $264.83 / $283.73 / $422.27	Professional		$264.83	$283.73	$422.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.31 / $251.27 / $812.89	Professional		$160.31	$251.27	$812.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $280.89 / $1,815.37 / $4,933.00	Facility		$280.89	$1,815.37	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.54 / $280.89 / $396.02	Professional		$144.54	$280.89	$396.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $201.94 / $313.81	Professional		$30.66	$201.94	$313.81
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.17 / $304.89 / $399.75	Professional		$221.17	$304.89	$399.75