Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.15 / $343.15 / $2,056.00	Facility		$197.15	$343.15	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $156.06 / $245.75 / $392.17	Professional		$156.06	$245.75	$392.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $277.01 / $277.01 / $386.37	Professional		$277.01	$277.01	$386.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $321.57 / $439.56 / $1,013.66	Facility		$321.57	$439.56	$1,013.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.18 / $158.72 / $342.86	Professional		$43.18	$158.72	$342.86
CareSource Facility/Professional Facility Modifier Low / Median / High Price $158.13 / $173.95 / $234.88	Facility		$158.13	$173.95	$234.88
CareSource Facility/Professional Professional Modifier Low / Median / High Price $265.85 / $283.33 / $422.04	Professional		$265.85	$283.33	$422.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $173.53 / $264.25 / $713.61	Professional		$173.53	$264.25	$713.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $197.15 / $352.75 / $2,350.34	Facility		$197.15	$352.75	$2,350.34
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $180.78 / $258.45 / $424.85	Professional		$180.78	$258.45	$424.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.59 / $223.96 / $327.71	Professional		$30.59	$223.96	$327.71
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 $245.07 / $288.70 / $395.01	Professional		$245.07	$288.70	$395.01