Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,421.92 / $4,933.00 / $11,414.00	Facility		$1,421.92	$4,933.00	$11,414.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $931.51 / $1,369.25 / $4,947.33	Professional		$931.51	$1,369.25	$4,947.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,060.10 / $1,450.67 / $2,054.73	Professional		$1,060.10	$1,450.67	$2,054.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,131.66 / $9,630.04 / $22,614.87	Facility		$7,131.66	$9,630.04	$22,614.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.88 / $1,469.95 / $2,697.79	Professional		$285.88	$1,469.95	$2,697.79
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,013.65 / $1,276.38 / $1,531.65	Facility		$1,013.65	$1,276.38	$1,531.65
CareSource Facility/Professional Professional Modifier Low / Median / High Price $986.66 / $1,335.58 / $1,669.40	Professional		$986.66	$1,335.58	$1,669.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $784.14 / $1,256.99 / $2,271.94	Professional		$784.14	$1,256.99	$2,271.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,369.25 / $5,154.74 / $12,109.04	Facility		$1,369.25	$5,154.74	$12,109.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,053.27 / $1,369.25 / $3,085.56	Professional		$1,053.27	$1,369.25	$3,085.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $103.64 / $733.87 / $1,240.27	Professional		$103.64	$733.87	$1,240.27
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 $1,064.79 / $1,312.78 / $1,737.80	Professional		$1,064.79	$1,312.78	$1,737.80