Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $483.43 / $483.43 / $754.15	Facility		$483.43	$483.43	$754.15
Aetna Facility/Professional Professional Modifier Low / Median / High Price $483.43 / $508.87 / $508.87	Professional		$483.43	$508.87	$508.87
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $144.24 / $144.24 / $144.24	Professional		$144.24	$144.24	$144.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $593.79 / $828.00 / $1,454.25	Facility		$593.79	$828.00	$1,454.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $521.54 / $549.00 / $587.42	Professional		$521.54	$549.00	$587.42
CareSource Facility/Professional Facility Modifier Low / Median / High Price $508.87 / $755.80 / $1,243.63	Facility		$508.87	$755.80	$1,243.63
CareSource Facility/Professional Professional Modifier Low / Median / High Price $508.87 / $636.09 / $686.97	Professional		$508.87	$636.09	$686.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.80 / $305.93 / $707.90	Professional		$232.80	$305.93	$707.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $478.13 / $483.43 / $888.30	Facility		$478.13	$483.43	$888.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $478.13 / $483.43 / $610.64	Professional		$478.13	$483.43	$610.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $421.34 / $463.47 / $758.41	Professional		$421.34	$463.47	$758.41
United Facility/Professional Professional Modifier Low / Median / High Price $213.45 / $304.93 / $508.22	Professional		$213.45	$304.93	$508.22