Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,743.44 / $1,743.44 / $1,743.44	Facility		$1,743.44	$1,743.44	$1,743.44
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,229.80 / $1,743.44 / $1,824.30	Professional		$1,229.80	$1,743.44	$1,824.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,388.33 / $1,388.33 / $1,607.92	Professional		$1,388.33	$1,388.33	$1,607.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,612.66 / $8,816.89 / $11,545.88	Facility		$6,612.66	$8,816.89	$11,545.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $175.69 / $1,712.98 / $3,245.66	Professional		$175.69	$1,712.98	$3,245.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $148.83 / $164.53 / $2,009.22	Facility		$148.83	$164.53	$2,009.22
CareSource Facility/Professional Professional Modifier Low / Median / High Price $183.18 / $183.18 / $2,747.64	Professional		$183.18	$183.18	$2,747.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $173.31 / $1,082.51 / $1,082.51	Facility		$173.31	$1,082.51	$1,082.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.91 / $1,082.51 / $1,903.80	Professional		$169.91	$1,082.51	$1,903.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $626.79 / $1,654.59 / $2,289.69	Professional		$626.79	$1,654.59	$2,289.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $86.93 / $119.53 / $1,086.63	Professional		$86.93	$119.53	$1,086.63
United Facility/Professional Professional Modifier Low / Median / High Price $772.80 / $1,032.40 / $1,638.73	Professional		$772.80	$1,032.40	$1,638.73