Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $789.28 / $2,492.57 / $8,258.20	Facility		$789.28	$2,492.57	$8,258.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $526.19 / $760.04 / $1,462.47	Professional		$526.19	$760.04	$1,462.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $285.77 / $564.66 / $775.75	Professional		$285.77	$564.66	$775.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,806.37 / $6,490.16 / $15,241.27	Facility		$4,806.37	$6,490.16	$15,241.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.98 / $908.23 / $1,658.49	Professional		$168.98	$908.23	$1,658.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $564.52 / $707.33 / $848.79	Facility		$564.52	$707.33	$848.79
CareSource Facility/Professional Professional Modifier Low / Median / High Price $549.00 / $743.00 / $929.72	Professional		$549.00	$743.00	$929.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $437.83 / $728.48 / $1,266.58	Professional		$437.83	$728.48	$1,266.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $645.86 / $3,080.68 / $11,028.62	Facility		$645.86	$3,080.68	$11,028.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $565.08 / $760.04 / $1,273.83	Professional		$565.08	$760.04	$1,273.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $413.70 / $709.09	Professional		$68.50	$413.70	$709.09
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.19 / $752.19 / $1,025.66	Professional		$638.19	$752.19	$1,025.66