Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $232.41 / $382.90 / $2,056.00	Facility		$232.41	$382.90	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.52 / $265.49 / $382.90	Professional		$167.52	$265.49	$382.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $223.07 / $310.30 / $433.22	Professional		$223.07	$310.30	$433.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $578.24 / $673.96 / $913.12	Facility		$578.24	$673.96	$913.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.97 / $284.80 / $404.72	Professional		$50.97	$284.80	$404.72
CareSource Facility/Professional Facility Modifier Low / Median / High Price $187.04 / $205.74 / $277.81	Facility		$187.04	$205.74	$277.81
CareSource Facility/Professional Professional Modifier Low / Median / High Price $297.39 / $317.69 / $473.04	Professional		$297.39	$317.69	$473.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.90 / $303.18 / $841.66	Professional		$197.90	$303.18	$841.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $232.41 / $371.23 / $2,285.90	Facility		$232.41	$371.23	$2,285.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $195.11 / $295.95 / $437.60	Professional		$195.11	$295.95	$437.60
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 $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 $274.20 / $328.55 / $447.31	Professional		$274.20	$328.55	$447.31