Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.40 / $1,857.49 / $6,010.68	Facility		$144.40	$1,857.49	$6,010.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $73.34 / $159.15 / $208.09	Professional		$73.34	$159.15	$208.09
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $106.16 / $303.10 / $307.56	Professional	50	$106.16	$303.10	$307.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.95 / $74.67 / $170.67	Professional		$67.95	$74.67	$170.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,730.86 / $4,355.04 / $5,932.76	Facility		$3,730.86	$4,355.04	$5,932.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.54 / $122.97 / $215.58	Professional		$19.54	$122.97	$215.58
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $150.76 / $177.36 / $417.83	Professional	50	$150.76	$177.36	$417.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $70.08 / $94.61 / $104.08	Facility		$70.08	$94.61	$104.08
CareSource Facility/Professional Professional Modifier Low / Median / High Price $165.66 / $197.21 / $207.17	Professional		$165.66	$197.21	$207.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.31 / $150.21 / $305.19	Professional		$81.31	$150.21	$305.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $204.82 / $1,857.49 / $4,933.00	Facility		$204.82	$1,857.49	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.81 / $165.03 / $259.31	Professional		$79.81	$165.03	$259.31
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $106.16 / $303.10 / $307.56	Professional	50	$106.16	$303.10	$307.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.01 / $170.07 / $243.46	Professional		$136.01	$170.07	$243.46
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $179.73 / $212.78 / $285.25	Professional		$179.73	$212.78	$285.25