Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $756.26 / $1,134.39 / $2,359.53	Facility		$756.26	$1,134.39	$2,359.53
Aetna Facility/Professional Professional Modifier Low / Median / High Price $580.60 / $678.22 / $1,460.72	Professional		$580.60	$678.22	$1,460.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $843.65 / $843.65 / $876.10	Professional		$843.65	$843.65	$876.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,121.01 / $1,543.88 / $2,745.43	Facility		$1,121.01	$1,543.88	$2,745.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $920.62 / $969.07 / $1,308.24	Professional		$920.62	$969.07	$1,308.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $611.24 / $672.36 / $855.74	Facility		$611.24	$672.36	$855.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $794.61 / $914.40 / $1,413.39	Professional		$794.61	$914.40	$1,413.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $541.03 / $851.39 / $1,418.58	Professional		$541.03	$851.39	$1,418.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $493.38 / $1,322.35 / $5,191.68	Facility		$493.38	$1,322.35	$5,191.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $681.36 / $1,699.20	Professional		$493.38	$681.36	$1,699.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $540.73 / $662.61 / $821.60	Professional		$540.73	$662.61	$821.60
United Facility/Professional Professional Modifier Low / Median / High Price $603.79 / $728.87 / $960.39	Professional		$603.79	$728.87	$960.39