Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.15 / $737.41 / $2,877.00	Facility		$127.15	$737.41	$2,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.96 / $237.49 / $759.65	Professional		$87.96	$237.49	$759.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.13 / $84.13 / $167.43	Professional		$84.13	$84.13	$167.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,546.56 / $3,480.92 / $8,027.28	Facility		$2,546.56	$3,480.92	$8,027.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $86.22 / $154.49	Professional		$24.39	$86.22	$154.49
CareSource Facility/Professional Facility Modifier Low / Median / High Price $87.47 / $110.40 / $131.63	Facility		$87.47	$110.40	$131.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $644.67 / $798.17 / $1,004.99	Professional		$644.67	$798.17	$1,004.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $99.12 / $327.49 / $1,262.03	Professional		$99.12	$327.49	$1,262.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $127.15 / $929.14 / $4,933.00	Facility		$127.15	$929.14	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.73 / $510.84 / $922.48	Professional		$95.73	$510.84	$922.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $564.32 / $705.40 / $1,015.78	Professional		$564.32	$705.40	$1,015.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,796.00 / $4,857.00 / $6,327.00	Facility		$1,796.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.05 / $739.06 / $1,039.40	Professional		$576.05	$739.06	$1,039.40