Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,346.50 / $3,141.08 / $7,792.63	Facility		$1,346.50	$3,141.08	$7,792.63
Aetna Facility/Professional Facility Modifier 50 Low / Median / High Price $14,264.29 / $26,084.18 / $26,084.18	Facility	50	$14,264.29	$26,084.18	$26,084.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $225.10 / $436.18 / $931.03	Professional		$225.10	$436.18	$931.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $213.87 / $305.18 / $769.93	Professional		$213.87	$305.18	$769.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,200.66 / $4,903.43 / $6,679.83	Facility		$4,200.66	$4,903.43	$6,679.83
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,654.95 / $3,339.91 / $4,349.30	Facility	50	$2,654.95	$3,339.91	$4,349.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $127.07 / $668.79 / $1,115.83	Professional		$127.07	$668.79	$1,115.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $420.54 / $567.73 / $624.61	Facility		$420.54	$567.73	$624.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $413.99 / $492.85 / $556.05	Professional		$413.99	$492.85	$556.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $359.31 / $549.14 / $886.17	Professional		$359.31	$549.14	$886.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $555.16 / $3,027.19 / $8,623.36	Facility		$555.16	$3,027.19	$8,623.36
Health Alliance Plan Facility/Professional Facility Modifier 50 Low / Median / High Price $14,264.29 / $26,084.18 / $26,084.18	Facility	50	$14,264.29	$26,084.18	$26,084.18
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $272.42 / $545.36 / $940.79	Professional		$272.42	$545.36	$940.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $353.24 / $545.19	Professional		$65.66	$353.24	$545.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $435.42 / $546.19 / $724.00	Professional		$435.42	$546.19	$724.00