Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $221.75 / $594.00 / $2,878.00	Facility		$221.75	$594.00	$2,878.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.97 / $380.39 / $866.90	Professional		$184.97	$380.39	$866.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $190.30 / $403.99 / $564.59	Professional		$190.30	$403.99	$564.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,018.76 / $1,187.40 / $1,608.74	Facility		$1,018.76	$1,187.40	$1,608.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $47.83 / $267.29 / $602.11	Professional		$47.83	$267.29	$602.11
CareSource Facility/Professional Facility Modifier Low / Median / High Price $177.37 / $195.11 / $263.44	Facility		$177.37	$195.11	$263.44
CareSource Facility/Professional Professional Modifier Low / Median / High Price $390.29 / $414.03 / $617.28	Professional		$390.29	$414.03	$617.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.89 / $354.81 / $788.67	Professional		$163.89	$354.81	$788.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $279.39 / $1,084.85 / $4,933.00	Facility		$279.39	$1,084.85	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $221.75 / $401.81 / $765.36	Professional		$221.75	$401.81	$765.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $326.71 / $404.32 / $564.03	Professional		$326.71	$404.32	$564.03
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 $367.03 / $439.24 / $589.10	Professional		$367.03	$439.24	$589.10