Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $148.37 / $1,230.86 / $2,828.20	Facility		$148.37	$1,230.86	$2,828.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.83 / $262.68 / $490.72	Professional		$77.83	$262.68	$490.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.69 / $71.69 / $71.69	Professional		$71.69	$71.69	$71.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,240.65 / $1,448.22 / $1,972.87	Facility		$1,240.65	$1,448.22	$1,972.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.99 / $137.36 / $240.81	Professional		$20.99	$137.36	$240.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $78.61 / $106.12 / $116.75	Facility		$78.61	$106.12	$116.75
CareSource Facility/Professional Professional Modifier Low / Median / High Price $334.07 / $397.70 / $414.19	Professional		$334.07	$397.70	$414.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $90.36 / $255.01 / $674.14	Professional		$90.36	$255.01	$674.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $423.37 / $1,999.82 / $2,877.00	Facility		$423.37	$1,999.82	$2,877.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $99.96 / $423.38 / $591.26	Professional		$99.96	$423.38	$591.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.14 / $375.06 / $536.38	Professional		$299.14	$375.06	$536.38
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $482.22 / $565.50 / $775.25	Professional		$482.22	$565.50	$775.25