Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,045.38 / $2,045.38 / $2,045.38	Facility		$2,045.38	$2,045.38	$2,045.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,662.33 / $2,045.38 / $2,517.94	Professional		$1,662.33	$2,045.38	$2,517.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,062.14 / $1,062.14 / $1,062.14	Professional		$1,062.14	$1,062.14	$1,062.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,388.22 / $9,850.95 / $12,900.01	Facility		$7,388.22	$9,850.95	$12,900.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $196.30 / $2,014.62 / $3,626.32	Professional		$196.30	$2,014.62	$3,626.32
CareSource Facility/Professional Facility Modifier Low / Median / High Price $194.17 / $1,527.05 / $2,036.11	Facility		$194.17	$1,527.05	$2,036.11
CareSource Facility/Professional Professional Modifier Low / Median / High Price $224.03 / $1,699.54 / $2,367.37	Professional		$224.03	$1,699.54	$2,367.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,786.79 / $1,786.79 / $1,786.79	Facility		$1,786.79	$1,786.79	$1,786.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,697.97 / $1,786.79 / $2,345.16	Professional		$1,697.97	$1,786.79	$2,345.16
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,528.17 / $2,045.38 / $2,686.16	Professional		$1,528.17	$2,045.38	$2,686.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $135.84 / $186.78 / $1,697.97	Professional		$135.84	$186.78	$1,697.97
United Facility/Professional Professional Modifier Low / Median / High Price $1,049.28 / $1,340.09 / $2,125.37	Professional		$1,049.28	$1,340.09	$2,125.37