Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $166.56 / $2,106.33 / $5,339.72	Facility		$166.56	$2,106.33	$5,339.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $132.61 / $259.72 / $376.46	Professional		$132.61	$259.72	$376.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.11 / $135.11 / $135.11	Professional		$135.11	$135.11	$135.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,515.34 / $4,097.25 / $5,551.13	Facility		$3,515.34	$4,097.25	$5,551.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.75 / $162.00 / $342.93	Professional		$30.75	$162.00	$342.93
CareSource Facility/Professional Facility Modifier Low / Median / High Price $125.25 / $169.09 / $186.03	Facility		$125.25	$169.09	$186.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $268.45 / $319.60 / $338.07	Professional		$268.45	$319.60	$338.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $135.15 / $269.18 / $451.54	Professional		$135.15	$269.18	$451.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $169.56 / $2,740.00 / $5,339.72	Facility		$169.56	$2,740.00	$5,339.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $160.10 / $277.01 / $432.16	Professional		$160.10	$277.01	$432.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $272.90 / $390.38	Professional		$217.81	$272.90	$390.38
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 $306.69 / $383.03 / $501.54	Professional		$306.69	$383.03	$501.54