Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.88 / $340.88 / $340.88	Facility		$340.88	$340.88	$340.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $240.46 / $340.88 / $343.00	Professional		$240.46	$340.88	$343.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.85 / $250.85 / $250.85	Professional		$250.85	$250.85	$250.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.96 / $1,723.96 / $2,257.56	Facility		$1,723.96	$1,723.96	$2,257.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.35 / $352.57 / $634.62	Professional		$34.35	$352.57	$634.62
CareSource Facility/Professional Facility Modifier Low / Median / High Price $29.10 / $269.70 / $343.98	Facility		$29.10	$269.70	$343.98
CareSource Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $35.82 / $524.64	Professional		$35.82	$35.82	$524.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $209.52 / $209.52 / $290.14	Facility		$209.52	$209.52	$290.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.52 / $284.45 / $350.21	Professional		$209.52	$284.45	$350.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $44.77 / $323.35 / $447.70	Professional		$44.77	$323.35	$447.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $21.94 / $35.68 / $356.89	Professional		$21.94	$35.68	$356.89
United Facility/Professional Professional Modifier Low / Median / High Price $148.63 / $206.39 / $301.20	Professional		$148.63	$206.39	$301.20