Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,122.08 / $4,857.34 / $8,565.45	Facility		$1,122.08	$4,857.34	$8,565.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $400.48 / $692.80 / $1,805.00	Professional		$400.48	$692.80	$1,805.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $283.74 / $522.36 / $766.11	Professional		$283.74	$522.36	$766.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,149.45 / $5,603.09 / $13,158.12	Facility		$4,149.45	$5,603.09	$13,158.12
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,604.33 / $3,276.23 / $4,266.37	Facility	50	$2,604.33	$3,276.23	$4,266.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.25 / $768.10 / $1,502.04	Professional		$138.25	$768.10	$1,502.04
CareSource Facility/Professional Facility Modifier Low / Median / High Price $516.07 / $645.66 / $774.80	Facility		$516.07	$645.66	$774.80
CareSource Facility/Professional Professional Modifier Low / Median / High Price $501.63 / $679.07 / $849.93	Professional		$501.63	$679.07	$849.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $413.47 / $671.38 / $1,157.72	Professional		$413.47	$671.38	$1,157.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $719.46 / $5,179.72 / $9,008.20	Facility		$719.46	$5,179.72	$9,008.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $542.85 / $692.80 / $1,087.99	Professional		$542.85	$692.80	$1,087.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $382.25 / $619.99	Professional		$68.50	$382.25	$619.99
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 $540.83 / $714.66 / $1,010.86	Professional		$540.83	$714.66	$1,010.86