Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $95.73 / $1,218.46 / $2,357.71	Facility		$95.73	$1,218.46	$2,357.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.38 / $172.90 / $318.18	Professional		$61.38	$172.90	$318.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.86 / $90.03 / $186.90	Professional		$58.86	$90.03	$186.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $559.04 / $767.39 / $1,845.99	Facility		$559.04	$767.39	$1,845.99
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $299.56 / $408.75 / $598.55	Facility	50	$299.56	$408.75	$598.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.05 / $101.09 / $166.80	Professional		$18.05	$101.09	$166.80
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $137.85 / $162.18 / $535.26	Professional	50	$137.85	$162.18	$535.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $62.95 / $76.98 / $97.26	Facility		$62.95	$76.98	$97.26
CareSource Facility/Professional Professional Modifier Low / Median / High Price $200.84 / $261.08 / $332.36	Professional		$200.84	$261.08	$332.36
Cigna Facility/Professional Facility Modifier Low / Median / High Price $115.83 / $115.83 / $115.83	Facility		$115.83	$115.83	$115.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.84 / $193.87 / $495.08	Professional		$69.84	$193.87	$495.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $165.55 / $1,020.01 / $3,913.06	Facility		$165.55	$1,020.01	$3,913.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $69.40 / $191.06 / $370.92	Professional		$69.40	$191.06	$370.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $159.08 / $197.65 / $279.29	Professional		$159.08	$197.65	$279.29
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $237.13 / $533.97	Professional		$190.81	$237.13	$533.97