Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.31 / $2,828.02 / $7,851.86	Facility		$773.31	$2,828.02	$7,851.86
Aetna Facility/Professional Professional Modifier Low / Median / High Price $625.22 / $773.31 / $1,166.86	Professional		$625.22	$773.31	$1,166.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $772.80 / $772.80 / $772.80	Professional		$772.80	$772.80	$772.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,860.22 / $2,169.89 / $3,052.88	Facility		$1,860.22	$2,169.89	$3,052.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $170.33 / $626.21 / $1,237.76	Professional		$170.33	$626.21	$1,237.76
CareSource Facility/Professional Facility Modifier Low / Median / High Price $623.88 / $686.27 / $926.62	Facility		$623.88	$686.27	$926.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $735.58 / $792.98 / $1,178.90	Professional		$735.58	$792.98	$1,178.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $552.25 / $763.48 / $2,817.05	Professional		$552.25	$763.48	$2,817.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $787.22 / $3,710.77 / $9,152.35	Facility		$787.22	$3,710.77	$9,152.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $672.40 / $820.44 / $1,175.73	Professional		$672.40	$820.44	$1,175.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $535.04 / $848.40	Professional		$68.25	$535.04	$848.40
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 $685.70 / $866.55 / $1,081.79	Professional		$685.70	$866.55	$1,081.79