Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $412.83 / $412.83 / $412.83	Facility		$412.83	$412.83	$412.83
Aetna Facility/Professional Professional Modifier Low / Median / High Price $270.29 / $350.60 / $498.07	Professional		$270.29	$350.60	$498.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.36 / $335.91 / $615.78	Professional		$304.36	$335.91	$615.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $527.86 / $527.86 / $527.86	Facility		$527.86	$527.86	$527.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $479.88 / $562.16 / $659.83	Professional		$479.88	$562.16	$659.83
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.50 / $416.88 / $500.25	Facility		$333.50	$416.88	$500.25
CareSource Facility/Professional Professional Modifier Low / Median / High Price $347.72 / $450.23 / $549.25	Professional		$347.72	$450.23	$549.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.36 / $375.56 / $904.25	Professional		$275.36	$375.56	$904.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $279.02 / $279.02 / $412.83	Facility		$279.02	$279.02	$412.83
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $271.68 / $361.88 / $538.16	Professional		$271.68	$361.88	$538.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $270.40 / $327.28 / $443.75	Professional		$270.40	$327.28	$443.75
United Facility/Professional Professional Modifier Low / Median / High Price $262.38 / $325.33 / $481.48	Professional		$262.38	$325.33	$481.48