Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,051.12 / $2,051.12 / $2,051.12	Facility		$2,051.12	$2,051.12	$2,051.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,423.84 / $2,045.40 / $2,051.12	Professional		$1,423.84	$2,045.40	$2,051.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,821.77 / $1,821.77 / $1,821.77	Professional		$1,821.77	$1,821.77	$1,821.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,267.41 / $10,267.41 / $13,445.38	Facility		$10,267.41	$10,267.41	$13,445.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $215.36 / $2,099.79 / $3,779.62	Professional		$215.36	$2,099.79	$3,779.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $173.32 / $185.46 / $2,064.23	Facility		$173.32	$185.46	$2,064.23
CareSource Facility/Professional Professional Modifier Low / Median / High Price $213.31 / $228.26 / $3,106.56	Professional		$213.31	$228.26	$3,106.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,350.00 / $1,350.00 / $1,377.00	Facility		$1,350.00	$1,350.00	$1,377.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,350.00 / $1,390.50 / $2,233.06	Professional		$1,350.00	$1,390.50	$2,233.06
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $333.30 / $2,051.12 / $2,666.40	Professional		$333.30	$2,051.12	$2,666.40
Molina Facility/Professional Professional Modifier Low / Median / High Price $122.06 / $167.83 / $1,525.76	Professional		$122.06	$167.83	$1,525.76
United Facility/Professional Professional Modifier Low / Median / High Price $1,035.52 / $1,491.10 / $2,132.56	Professional		$1,035.52	$1,491.10	$2,132.56