Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.65 / $1,967.10 / $3,429.55	Facility		$111.65	$1,967.10	$3,429.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.09 / $252.45 / $404.62	Professional		$87.09	$252.45	$404.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.05 / $82.43 / $123.65	Professional		$82.05	$82.43	$123.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,207.11 / $1,784.74 / $2,392.39	Facility		$1,207.11	$1,784.74	$2,392.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.89 / $92.09 / $157.60	Professional		$22.89	$92.09	$157.60
CareSource Facility/Professional Facility Modifier Low / Median / High Price $81.70 / $102.88 / $123.03	Facility		$81.70	$102.88	$123.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $277.25 / $345.74 / $493.01	Professional		$277.25	$345.74	$493.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.98 / $252.54 / $565.63	Professional		$93.98	$252.54	$565.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $261.94 / $2,056.00 / $4,037.90	Facility		$261.94	$2,056.00	$4,037.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $98.31 / $269.52 / $484.56	Professional		$98.31	$269.52	$484.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $242.63 / $303.29 / $434.58	Professional		$242.63	$303.29	$434.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $298.55 / $415.16 / $540.16	Professional		$298.55	$415.16	$540.16