Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $747.86 / $5,886.88 / $12,348.63	Facility		$747.86	$5,886.88	$12,348.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $561.13 / $720.16 / $1,225.52	Professional		$561.13	$720.16	$1,225.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $570.47 / $589.35 / $766.16	Professional		$570.47	$589.35	$766.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,464.64 / $6,028.72 / $14,157.66	Facility		$4,464.64	$6,028.72	$14,157.66
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,392.34 / $3,677.88 / $4,590.46	Facility	50	$2,392.34	$3,677.88	$4,590.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $160.52 / $888.43 / $1,487.18	Professional		$160.52	$888.43	$1,487.18
CareSource Facility/Professional Facility Modifier Low / Median / High Price $535.69 / $670.80 / $804.96	Facility		$535.69	$670.80	$804.96
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.74 / $705.04 / $882.24	Professional		$520.74	$705.04	$882.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $430.15 / $713.76 / $1,200.31	Professional		$430.15	$713.76	$1,200.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $720.15 / $4,933.00 / $10,586.31	Facility		$720.15	$4,933.00	$10,586.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $581.66 / $720.15 / $1,078.55	Professional		$581.66	$720.15	$1,078.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $397.05 / $633.18	Professional		$68.50	$397.05	$633.18
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 $584.29 / $743.99 / $1,033.03	Professional		$584.29	$743.99	$1,033.03