Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $299.72 / $712.00 / $4,933.00	Facility		$299.72	$712.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.31 / $374.68 / $653.51	Professional		$214.31	$374.68	$653.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $417.58 / $417.58 / $583.10	Professional		$417.58	$417.58	$583.10
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 $73.31 / $325.63 / $521.02	Professional		$73.31	$325.63	$521.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $241.82 / $266.00 / $359.17	Facility		$241.82	$266.00	$359.17
CareSource Facility/Professional Professional Modifier Low / Median / High Price $399.77 / $427.60 / $636.54	Professional		$399.77	$427.60	$636.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.57 / $430.37 / $1,077.60	Professional		$276.57	$430.37	$1,077.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $299.72 / $499.70 / $4,933.00	Facility		$299.72	$499.70	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $271.66 / $443.63 / $647.94	Professional		$271.66	$443.63	$647.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $31.89 / $343.10 / $493.15	Professional		$31.89	$343.10	$493.15
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 $397.57 / $486.30 / $625.01	Professional		$397.57	$486.30	$625.01