Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $518.80 / $523.16 / $666.91	Facility		$518.80	$523.16	$666.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $313.49 / $523.16 / $806.28	Professional		$313.49	$523.16	$806.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $80.00 / $595.40 / $634.15	Professional		$80.00	$595.40	$634.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $55.00 / $55.00 / $55.00	Facility		$55.00	$55.00	$55.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.00 / $574.63 / $709.45	Professional		$55.00	$574.63	$709.45
CareSource Facility/Professional Facility Modifier Low / Median / High Price $414.49 / $559.55 / $615.63	Facility		$414.49	$559.55	$615.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $520.29 / $619.40 / $702.25	Professional		$520.29	$619.40	$702.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.52 / $489.42 / $855.95	Professional		$324.52	$489.42	$855.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $523.16 / $786.32 / $786.32	Facility		$523.16	$786.32	$786.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $436.21 / $666.90 / $900.33	Professional		$436.21	$666.90	$900.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $464.54 / $588.26 / $848.95	Professional		$464.54	$588.26	$848.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $471.69 / $574.29 / $820.29	Professional		$471.69	$574.29	$820.29