Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,028.48 / $1,028.48 / $1,028.48	Facility		$1,028.48	$1,028.48	$1,028.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $723.47 / $1,028.48 / $1,039.30	Professional		$723.47	$1,028.48	$1,039.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $887.79 / $887.79 / $887.79	Professional		$887.79	$887.79	$887.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $401.31 / $3,912.68 / $6,831.61	Facility		$401.31	$3,912.68	$6,831.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.96 / $1,351.41 / $1,920.43	Professional		$103.96	$1,351.41	$1,920.43
CareSource Facility/Professional Facility Modifier Low / Median / High Price $88.06 / $89.53 / $1,930.50	Facility		$88.06	$89.53	$1,930.50
CareSource Facility/Professional Professional Modifier Low / Median / High Price $108.38 / $108.38 / $110.19	Professional		$108.38	$108.38	$110.19
Cigna Facility/Professional Facility Modifier Low / Median / High Price $795.00 / $795.00 / $810.90	Facility		$795.00	$795.00	$810.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.49 / $795.00 / $1,039.30	Professional		$106.49	$795.00	$1,039.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $135.47 / $813.79 / $1,354.80	Professional		$135.47	$813.79	$1,354.80
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $484.44 / $658.50 / $949.90	Professional		$484.44	$658.50	$949.90