Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.93 / $1,659.98 / $4,933.00	Facility		$92.93	$1,659.98	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $68.12 / $143.93 / $262.29	Professional		$68.12	$143.93	$262.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.59 / $74.47 / $74.47	Professional		$62.59	$74.47	$74.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $973.85 / $1,156.32 / $1,588.19	Facility		$973.85	$1,156.32	$1,588.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.46 / $108.56 / $130.27	Professional		$18.46	$108.56	$130.27
CareSource Facility/Professional Facility Modifier Low / Median / High Price $235.95 / $235.95 / $235.95	Facility		$235.95	$235.95	$235.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.16 / $194.39 / $390.77	Professional		$78.16	$194.39	$390.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $117.09 / $2,740.00 / $4,933.00	Facility		$117.09	$2,740.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.64 / $176.02 / $308.64	Professional		$82.64	$176.02	$308.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.82 / $202.06 / $291.43	Professional		$162.82	$202.06	$291.43
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 $196.39 / $252.05 / $359.35	Professional		$196.39	$252.05	$359.35