Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $70.55 / $241.28 / $631.79	Facility		$70.55	$241.28	$631.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.90 / $107.43 / $205.83	Professional		$63.90	$107.43	$205.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.98 / $100.56 / $118.30	Professional		$67.98	$100.56	$118.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $251.87 / $293.56 / $397.73	Facility		$251.87	$293.56	$397.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.37 / $78.31 / $116.30	Professional		$15.37	$78.31	$116.30
CareSource Facility/Professional Facility Modifier Low / Median / High Price $55.44 / $60.98 / $82.35	Facility		$55.44	$60.98	$82.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $109.59 / $119.88 / $177.68	Professional		$109.59	$119.88	$177.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $61.76 / $125.07 / $235.36	Professional		$61.76	$125.07	$235.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $71.81 / $242.76 / $785.54	Facility		$71.81	$242.76	$785.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $70.55 / $123.19 / $210.14	Professional		$70.55	$123.19	$210.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.32 / $141.24	Professional		$81.79	$101.32	$141.24
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $112.79 / $142.47 / $214.80	Professional		$112.79	$142.47	$214.80