Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.19 / $4,687.29 / $9,556.89	Facility		$583.19	$4,687.29	$9,556.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $366.25 / $575.47 / $1,501.60	Professional		$366.25	$575.47	$1,501.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $397.40 / $435.90 / $653.85	Professional		$397.40	$435.90	$653.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,675.77 / $5,487.98 / $7,435.35	Facility		$4,675.77	$5,487.98	$7,435.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.36 / $637.41 / $959.75	Professional		$108.36	$637.41	$959.75
CareSource Facility/Professional Facility Modifier Low / Median / High Price $398.41 / $498.99 / $598.79	Facility		$398.41	$498.99	$598.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $537.90 / $723.96 / $909.47	Professional		$537.90	$723.96	$909.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.10 / $582.55 / $1,085.96	Professional		$377.10	$582.55	$1,085.96
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $620.38 / $5,013.02 / $12,449.98	Facility		$620.38	$5,013.02	$12,449.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $427.99 / $649.87 / $1,113.29	Professional		$427.99	$649.87	$1,113.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.55 / $428.26 / $697.92	Professional		$68.55	$428.26	$697.92
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.34 / $708.95 / $992.06	Professional		$571.34	$708.95	$992.06