Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $320.12 / $4,933.00 / $9,973.02	Facility		$320.12	$4,933.00	$9,973.02
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.69 / $626.34 / $2,509.09	Professional		$292.69	$626.34	$2,509.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $318.39 / $318.39 / $343.87	Professional		$318.39	$318.39	$343.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,615.68 / $5,379.75 / $7,288.71	Facility		$4,615.68	$5,379.75	$7,288.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.30 / $254.79 / $407.67	Professional		$73.30	$254.79	$407.67
CareSource Facility/Professional Facility Modifier Low / Median / High Price $232.67 / $314.10 / $345.58	Facility		$232.67	$314.10	$345.58
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,849.37 / $2,201.63 / $2,289.69	Professional		$1,849.37	$2,201.63	$2,289.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.90 / $543.09 / $3,000.59	Professional		$225.90	$543.09	$3,000.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $320.12 / $4,896.78 / $9,883.67	Facility		$320.12	$4,896.78	$9,883.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $301.61 / $1,701.56 / $2,937.17	Professional		$301.61	$1,701.56	$2,937.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,591.90 / $1,991.76 / $2,902.41	Professional		$1,591.90	$1,991.76	$2,902.41
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $7,849.00 / $9,202.00	Facility		$3,500.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,783.68 / $2,308.78 / $3,191.26	Professional		$1,783.68	$2,308.78	$3,191.26