Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $120.48 / $944.97 / $2,190.82	Facility		$120.48	$944.97	$2,190.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.18 / $208.37 / $298.13	Professional		$81.18	$208.37	$298.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.43 / $94.40 / $121.34	Professional		$85.43	$94.40	$121.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.27 / $1,103.70 / $2,780.74	Facility		$751.27	$1,103.70	$2,780.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $119.69 / $132.29 / $170.09	Professional		$119.69	$132.29	$170.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $80.16 / $100.20 / $119.06	Facility		$80.16	$100.20	$119.06
CareSource Facility/Professional Professional Modifier Low / Median / High Price $197.75 / $247.19 / $327.61	Professional		$197.75	$247.19	$327.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $89.04 / $263.58 / $616.98	Professional		$89.04	$263.58	$616.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $144.58 / $1,279.80 / $2,362.46	Facility		$144.58	$1,279.80	$2,362.46
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $86.59 / $256.75 / $338.29	Professional		$86.59	$256.75	$338.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.37 / $235.51 / $341.35	Professional		$190.37	$235.51	$341.35
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,324.00 / $4,504.00	Facility		$645.00	$3,324.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $254.18 / $317.86 / $412.29	Professional		$254.18	$317.86	$412.29