Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $486.72 / $3,399.75 / $6,715.00	Facility		$486.72	$3,399.75	$6,715.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $260.83 / $498.19 / $982.58	Professional		$260.83	$498.19	$982.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $153.08 / $306.14 / $577.55	Professional		$153.08	$306.14	$577.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,994.14 / $2,692.73 / $6,323.51	Facility		$1,994.14	$2,692.73	$6,323.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.03 / $430.51 / $781.71	Professional		$77.03	$430.51	$781.71
CareSource Facility/Professional Facility Modifier Low / Median / High Price $276.76 / $349.35 / $415.14	Facility		$276.76	$349.35	$415.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $524.55 / $692.85 / $873.28	Professional		$524.55	$692.85	$873.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $283.22 / $487.00 / $963.34	Professional		$283.22	$487.00	$963.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $555.78 / $2,877.00 / $6,699.70	Facility		$555.78	$2,877.00	$6,699.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $288.64 / $555.78 / $970.97	Professional		$288.64	$555.78	$970.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.83 / $379.04 / $659.35	Professional		$33.83	$379.04	$659.35
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $542.47 / $651.07 / $880.54	Professional		$542.47	$651.07	$880.54