Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Facility		$600.00	$600.00	$600.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $600.00 / $600.00 / $600.00	Professional		$600.00	$600.00	$600.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,400.00 / $2,400.00 / $2,400.00	Professional		$2,400.00	$2,400.00	$2,400.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,345.31 / $2,945.35 / $5,718.74	Facility		$1,345.31	$2,945.35	$5,718.74
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $842.40 / $1,421.55	Professional		$81.00	$842.40	$1,421.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $197.44 / $197.44 / $1,974.38	Facility		$197.44	$197.44	$1,974.38
CareSource Facility/Professional Professional Modifier Low / Median / High Price $251.84 / $251.84 / $3,777.68	Professional		$251.84	$251.84	$3,777.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $660.00 / $1,150.00 / $1,200.00	Facility		$660.00	$1,150.00	$1,200.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $839.50 / $977.50 / $2,625.89	Professional		$839.50	$977.50	$2,625.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $110.84 / $600.00 / $1,443.00	Facility		$110.84	$600.00	$1,443.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $110.84 / $600.00 / $1,443.00	Professional		$110.84	$600.00	$1,443.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $338.01 / $507.01	Professional		$30.00	$338.01	$507.01
United Facility/Professional Professional Modifier Low / Median / High Price $350.58 / $438.22 / $466.20	Professional		$350.58	$438.22	$466.20