Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $691.74 / $9,279.34 / $23,271.06	Facility		$691.74	$9,279.34	$23,271.06
Aetna Facility/Professional Facility Modifier 52 Low / Median / High Price $345.87 / $345.87 / $345.87	Facility	52	$345.87	$345.87	$345.87
Aetna Facility/Professional Facility Modifier 53 Low / Median / High Price $138.35 / $138.35 / $138.35	Facility	53	$138.35	$138.35	$138.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $530.37 / $653.85 / $1,307.39	Professional		$530.37	$653.85	$1,307.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $612.92 / $612.92 / $612.92	Professional		$612.92	$612.92	$612.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,383.70 / $13,804.19 / $34,232.76	Facility		$10,383.70	$13,804.19	$34,232.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $138.41 / $857.02 / $953.26	Professional		$138.41	$857.02	$953.26
CareSource Facility/Professional Facility Modifier Low / Median / High Price $548.36 / $740.29 / $814.45	Facility		$548.36	$740.29	$814.45
CareSource Facility/Professional Professional Modifier Low / Median / High Price $531.59 / $531.59 / $632.85	Professional		$531.59	$531.59	$632.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $521.59 / $833.13 / $1,169.58	Professional		$521.59	$833.13	$1,169.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $691.74 / $6,853.00 / $24,673.04	Facility		$691.74	$6,853.00	$24,673.04
Health Alliance Plan Facility/Professional Facility Modifier 52 Low / Median / High Price $345.87 / $345.87 / $345.87	Facility	52	$345.87	$345.87	$345.87
Health Alliance Plan Facility/Professional Facility Modifier 53 Low / Median / High Price $138.35 / $138.35 / $138.35	Facility	53	$138.35	$138.35	$138.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $570.85 / $691.74 / $1,348.24	Professional		$570.85	$691.74	$1,348.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $473.98 / $590.00 / $869.70	Professional		$473.98	$590.00	$869.70
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $11,152.00 / $25,000.00	Facility		$5,000.00	$11,152.00	$25,000.00
United Facility/Professional Professional Modifier Low / Median / High Price $617.04 / $820.78 / $1,061.69	Professional		$617.04	$820.78	$1,061.69