Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $416.15 / $1,028.66 / $2,877.00	Facility		$416.15	$1,028.66	$2,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $330.12 / $608.20 / $921.53	Professional		$330.12	$608.20	$921.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $356.64 / $670.47 / $938.39	Professional		$356.64	$670.47	$938.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $595.72 / $695.10 / $977.66	Facility		$595.72	$695.10	$977.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.57 / $501.47 / $847.23	Professional		$105.57	$501.47	$847.23
CareSource Facility/Professional Facility Modifier Low / Median / High Price $332.73 / $366.00 / $494.18	Facility		$332.73	$366.00	$494.18
CareSource Facility/Professional Professional Modifier Low / Median / High Price $647.00 / $688.15 / $1,025.52	Professional		$647.00	$688.15	$1,025.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $308.07 / $586.46 / $1,473.27	Professional		$308.07	$586.46	$1,473.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $524.34 / $1,028.66 / $4,933.00	Facility		$524.34	$1,028.66	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $416.14 / $660.08 / $982.24	Professional		$416.14	$660.08	$982.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $567.76 / $707.68 / $983.44	Professional		$567.76	$707.68	$983.44
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 $586.36 / $728.18 / $992.99	Professional		$586.36	$728.18	$992.99