Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $676.25 / $721.10 / $1,124.92	Facility		$676.25	$721.10	$1,124.92
Aetna Facility/Professional Professional Modifier Low / Median / High Price $544.62 / $570.79 / $786.45	Professional		$544.62	$570.79	$786.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $379.53 / $379.53 / $759.05	Professional		$379.53	$379.53	$759.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $729.68 / $1,046.22 / $1,854.23	Facility		$729.68	$1,046.22	$1,854.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $665.00 / $700.00 / $749.00	Professional		$665.00	$700.00	$749.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $569.29 / $797.00 / $1,821.72	Facility		$569.29	$797.00	$1,821.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $493.38 / $797.00 / $1,024.72	Professional		$493.38	$797.00	$1,024.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.04 / $759.05 / $1,090.32	Professional		$444.04	$759.05	$1,090.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $625.16 / $721.10 / $1,325.02	Facility		$625.16	$721.10	$1,325.02
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $550.00 / $625.16 / $901.38	Professional		$550.00	$625.16	$901.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $628.50 / $628.50 / $848.47	Professional		$628.50	$628.50	$848.47
United Facility/Professional Professional Modifier Low / Median / High Price $318.80 / $481.40 / $667.80	Professional		$318.80	$481.40	$667.80