Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $725.33 / $1,067.38 / $4,933.00	Facility		$725.33	$1,067.38	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.08 / $725.33 / $1,151.70	Professional		$557.08	$725.33	$1,151.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $633.79 / $633.79 / $633.79	Professional		$633.79	$633.79	$633.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,679.09 / $3,122.57 / $4,230.59	Facility		$2,679.09	$3,122.57	$4,230.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $794.12 / $1,176.48	Professional		$160.00	$794.12	$1,176.48
CareSource Facility/Professional Facility Modifier Low / Median / High Price $586.08 / $644.69 / $870.48	Facility		$586.08	$644.69	$870.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $727.17 / $783.76 / $1,165.16	Professional		$727.17	$783.76	$1,165.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $532.17 / $712.44 / $2,640.08	Professional		$532.17	$712.44	$2,640.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $725.33 / $1,217.79 / $6,906.00	Facility		$725.33	$1,217.79	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $630.36 / $774.49 / $1,144.23	Professional		$630.36	$774.49	$1,144.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $527.73 / $856.86	Professional		$68.25	$527.73	$856.86
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $700.28 / $855.90 / $1,135.30	Professional		$700.28	$855.90	$1,135.30