Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $540.40 / $540.40 / $540.40	Facility		$540.40	$540.40	$540.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.49 / $509.70 / $540.40	Professional		$336.49	$509.70	$540.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $432.00 / $432.00 / $432.00	Professional		$432.00	$432.00	$432.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,426.32 / $2,426.32 / $3,177.32	Facility		$2,426.32	$2,426.32	$3,177.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.89 / $628.53 / $893.17	Professional		$50.89	$628.53	$893.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $40.96 / $62.86 / $703.76	Facility		$40.96	$62.86	$703.76
CareSource Facility/Professional Professional Modifier Low / Median / High Price $50.41 / $77.36 / $726.60	Professional		$50.41	$77.36	$726.60
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.79 / $459.79 / $459.79	Facility		$459.79	$459.79	$459.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $50.73 / $459.79 / $720.00	Professional		$50.73	$459.79	$720.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $63.01 / $540.40 / $698.66	Professional		$63.01	$540.40	$698.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $42.39 / $240.41 / $517.02	Professional		$42.39	$240.41	$517.02
United Facility/Professional Professional Modifier Low / Median / High Price $245.05 / $389.34 / $674.38	Professional		$245.05	$389.34	$674.38