Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,004.88 / $1,004.88 / $1,004.88	Facility		$1,004.88	$1,004.88	$1,004.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.40 / $889.50 / $1,004.88	Professional		$516.40	$889.50	$1,004.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,353.62 / $2,986.44 / $5,798.52	Facility		$1,353.62	$2,986.44	$5,798.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.04 / $1,014.31 / $1,441.38	Professional		$111.04	$1,014.31	$1,441.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $96.70 / $663.85 / $1,086.03	Facility		$96.70	$663.85	$1,086.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $116.04 / $784.55 / $1,139.84	Professional		$116.04	$784.55	$1,139.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $750.60 / $750.60 / $4,321.62	Professional		$750.60	$750.60	$4,321.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $472.10 / $472.10 / $3,481.20	Facility		$472.10	$472.10	$3,481.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $101.53 / $753.66 / $4,177.43	Professional		$101.53	$753.66	$4,177.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.00 / $147.51 / $206.51	Professional		$82.00	$147.51	$206.51
United Facility/Professional Professional Modifier Low / Median / High Price $46.30 / $105.47 / $277.81	Professional		$46.30	$105.47	$277.81