Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $680.14 / $3,582.65 / $5,683.92	Facility		$680.14	$3,582.65	$5,683.92
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $4,031.22 / $6,781.10 / $6,781.10	Facility	50	$4,031.22	$6,781.10	$6,781.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $438.93 / $574.82 / $949.35	Professional		$438.93	$574.82	$949.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $489.21 / $537.67 / $725.87	Professional		$489.21	$537.67	$725.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,315.76 / $4,477.34 / $10,514.44	Facility		$3,315.76	$4,477.34	$10,514.44
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,776.71 / $2,424.33 / $3,272.48	Facility	50	$1,776.71	$2,424.33	$3,272.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $134.18 / $717.54 / $1,302.34	Professional		$134.18	$717.54	$1,302.34
CareSource Facility/Professional Facility Modifier Low / Median / High Price $488.90 / $612.79 / $733.35	Facility		$488.90	$612.79	$733.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $476.46 / $644.41 / $807.37	Professional		$476.46	$644.41	$807.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.30 / $560.36 / $1,094.93	Professional		$380.30	$560.36	$1,094.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $680.14 / $3,771.54 / $5,926.15	Facility		$680.14	$3,771.54	$5,926.15
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $4,031.22 / $6,781.10 / $6,781.10	Facility	50	$4,031.22	$6,781.10	$6,781.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $490.55 / $633.42 / $949.35	Professional		$490.55	$633.42	$949.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $363.97 / $590.86	Professional		$68.50	$363.97	$590.86
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $508.63 / $607.46 / $934.60	Professional		$508.63	$607.46	$934.60