Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,796.72 / $1,796.72 / $1,796.72	Facility		$1,796.72	$1,796.72	$1,796.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,065.90 / $1,594.13 / $1,796.72	Professional		$1,065.90	$1,594.13	$1,796.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,307.72 / $1,307.72 / $1,307.72	Professional		$1,307.72	$1,307.72	$1,307.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $389.89 / $3,976.13 / $9,649.61	Facility		$389.89	$3,976.13	$9,649.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.22 / $1,991.21 / $2,829.61	Professional		$161.22	$1,991.21	$2,829.61
CareSource Facility/Professional Facility Modifier Low / Median / High Price $129.75 / $170.71 / $1,758.60	Facility		$129.75	$170.71	$1,758.60
CareSource Facility/Professional Professional Modifier Low / Median / High Price $159.69 / $159.69 / $2,395.44	Professional		$159.69	$159.69	$2,395.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.71 / $1,452.11 / $2,925.00	Professional		$163.71	$1,452.11	$2,925.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,796.72 / $1,974.68 / $1,974.68	Facility		$1,796.72	$1,974.68	$1,974.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,162.71 / $1,796.72 / $2,025.08	Professional		$1,162.71	$1,796.72	$2,025.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $166.05 / $941.66 / $2,025.08	Professional		$166.05	$941.66	$2,025.08
United Facility/Professional Professional Modifier Low / Median / High Price $923.90 / $1,195.57 / $2,159.30	Professional		$923.90	$1,195.57	$2,159.30