Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $952.88 / $1,200.61 / $1,525.57	Facility		$952.88	$1,200.61	$1,525.57
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.35 / $960.87 / $1,552.62	Professional		$553.35	$960.87	$1,552.62
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,092.16 / $1,092.16 / $1,419.81	Professional		$1,092.16	$1,092.16	$1,419.81
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 / $269.20 / $1,266.83	Professional		$55.00	$269.20	$1,266.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $761.41 / $1,027.90 / $1,130.89	Facility		$761.41	$1,027.90	$1,130.89
CareSource Facility/Professional Professional Modifier Low / Median / High Price $951.28 / $1,132.48 / $1,286.71	Professional		$951.28	$1,132.48	$1,286.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $570.96 / $896.82 / $1,578.97	Professional		$570.96	$896.82	$1,578.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $960.88 / $1,200.61 / $1,525.57	Facility		$960.88	$1,200.61	$1,525.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $788.41 / $1,173.85 / $1,560.88	Professional		$788.41	$1,173.85	$1,560.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $841.50 / $1,070.67 / $1,547.45	Professional		$841.50	$1,070.67	$1,547.45
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 $841.57 / $1,041.98 / $1,402.90	Professional		$841.57	$1,041.98	$1,402.90