Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $201.11 / $357.07 / $2,878.00	Facility		$201.11	$357.07	$2,878.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $162.77 / $259.20 / $428.48	Professional		$162.77	$259.20	$428.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $168.16 / $304.68 / $304.68	Professional		$168.16	$304.68	$304.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $582.67 / $796.47 / $1,836.73	Facility		$582.67	$796.47	$1,836.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.92 / $279.58 / $361.99	Professional		$55.92	$279.58	$361.99
CareSource Facility/Professional Facility Modifier Low / Median / High Price $183.49 / $201.84 / $272.54	Facility		$183.49	$201.84	$272.54
CareSource Facility/Professional Professional Modifier Low / Median / High Price $292.47 / $312.07 / $464.76	Professional		$292.47	$312.07	$464.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $194.34 / $289.14 / $827.27	Professional		$194.34	$289.14	$827.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $201.11 / $363.49 / $4,933.00	Facility		$201.11	$363.49	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $189.12 / $288.18 / $466.16	Professional		$189.12	$288.18	$466.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $232.27 / $354.78	Professional		$30.66	$232.27	$354.78
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 $268.77 / $321.29 / $425.60	Professional		$268.77	$321.29	$425.60