Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.68 / $1,332.69 / $3,522.88	Facility		$147.68	$1,332.69	$3,522.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $227.18 / $427.77	Professional		$101.14	$227.18	$427.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $107.71 / $234.10 / $424.46	Professional		$107.71	$234.10	$424.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $676.89 / $982.48 / $2,361.86	Facility		$676.89	$982.48	$2,361.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.26 / $131.88 / $215.80	Professional		$28.26	$131.88	$215.80
CareSource Facility/Professional Facility Modifier Low / Median / High Price $100.92 / $126.19 / $151.43	Facility		$100.92	$126.19	$151.43
CareSource Facility/Professional Professional Modifier Low / Median / High Price $233.81 / $306.55 / $469.31	Professional		$233.81	$306.55	$469.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $94.52 / $191.88 / $456.07	Professional		$94.52	$191.88	$456.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $143.18 / $1,332.69 / $2,919.49	Facility		$143.18	$1,332.69	$2,919.49
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.22 / $241.19 / $429.81	Professional		$116.22	$241.19	$429.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $217.81 / $271.47 / $385.14	Professional		$217.81	$271.47	$385.14
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $171.37 / $300.56 / $394.80	Professional		$171.37	$300.56	$394.80