Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $290.06 / $290.06 / $290.06	Facility		$290.06	$290.06	$290.06
Aetna Facility/Professional Professional Modifier Low / Median / High Price $202.13 / $290.06 / $290.37	Professional		$202.13	$290.06	$290.37
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $315.10 / $315.10 / $388.84	Professional		$315.10	$315.10	$388.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $106.79 / $1,041.15 / $1,817.85	Facility		$106.79	$1,041.15	$1,817.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $283.89 / $378.53 / $511.02	Professional		$283.89	$378.53	$511.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $24.60 / $194.60 / $291.91	Facility		$24.60	$194.60	$291.91
CareSource Facility/Professional Professional Modifier Low / Median / High Price $30.28 / $227.12 / $319.33	Professional		$30.28	$227.12	$319.33
Cigna Facility/Professional Facility Modifier Low / Median / High Price $263.45 / $263.45 / $325.44	Facility		$263.45	$263.45	$325.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.45 / $303.58 / $548.44	Professional		$263.45	$303.58	$548.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.31 / $288.45 / $399.17	Professional		$47.31	$288.45	$399.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $6.81 / $6.81 / $30.00	Professional		$6.81	$6.81	$30.00
United Facility/Professional Professional Modifier Low / Median / High Price $147.00 / $190.82 / $288.39	Professional		$147.00	$190.82	$288.39