Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.55 / $721.64 / $946.30	Facility		$237.55	$721.64	$946.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $157.46 / $182.74 / $237.55	Professional		$157.46	$182.74	$237.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.00 / $162.29 / $164.80	Professional		$135.00	$162.29	$164.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $388.51 / $724.97 / $1,371.44	Facility		$388.51	$724.97	$1,371.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.94 / $325.64 / $387.66	Professional		$281.94	$325.64	$387.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $171.21 / $214.01 / $263.70	Facility		$171.21	$214.01	$263.70
CareSource Facility/Professional Professional Modifier Low / Median / High Price $181.93 / $225.25 / $375.60	Professional		$181.93	$225.25	$375.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.72 / $156.72 / $388.14	Professional		$156.72	$156.72	$388.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $146.21 / $766.29 / $946.30	Facility		$146.21	$766.29	$946.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $146.21 / $157.75 / $237.55	Professional		$146.21	$157.75	$237.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00
United Facility/Professional Professional Modifier Low / Median / High Price $159.56 / $244.81 / $318.25	Professional		$159.56	$244.81	$318.25