Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $287.33 / $576.50 / $4,933.00	Facility		$287.33	$576.50	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $231.02 / $354.36 / $503.92	Professional		$231.02	$354.36	$503.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $388.13 / $388.13 / $388.13	Professional		$388.13	$388.13	$388.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $844.92 / $984.78 / $1,334.22	Facility		$844.92	$984.78	$1,334.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $246.44 / $497.48	Professional		$65.16	$246.44	$497.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $229.83 / $252.81 / $341.35	Facility		$229.83	$252.81	$341.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $372.09 / $397.25 / $591.57	Professional		$372.09	$397.25	$591.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.06 / $396.17 / $1,034.45	Professional		$258.06	$396.17	$1,034.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $292.50 / $481.01 / $5,471.26	Facility		$292.50	$481.01	$5,471.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $397.28 / $603.92	Professional		$267.50	$397.28	$603.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $316.18 / $471.54	Professional		$32.05	$316.18	$471.54
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 $370.60 / $443.77 / $553.34	Professional		$370.60	$443.77	$553.34