Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $262.89 / $303.91 / $401.98	Facility		$262.89	$303.91	$401.98
Aetna Facility/Professional Professional Modifier Low / Median / High Price $257.99 / $311.95 / $401.98	Professional		$257.99	$311.95	$401.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $287.41 / $287.41 / $338.13	Professional		$287.41	$287.41	$338.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $446.71 / $572.17 / $604.38	Facility		$446.71	$572.17	$604.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.74 / $595.07 / $715.22	Professional		$457.74	$595.07	$715.22
CareSource Facility/Professional Facility Modifier Low / Median / High Price $364.29 / $458.43 / $547.74	Facility		$364.29	$458.43	$547.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $411.69 / $520.30 / $659.17	Professional		$411.69	$520.30	$659.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.23 / $378.23 / $532.45	Professional		$378.23	$378.23	$532.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $297.47 / $357.72 / $411.37	Facility		$297.47	$357.72	$411.37
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $262.89 / $357.72 / $475.28	Professional		$262.89	$357.72	$475.28
Molina Facility/Professional Professional Modifier Low / Median / High Price $352.39 / $442.69 / $631.19	Professional		$352.39	$442.69	$631.19
United Facility/Professional Professional Modifier Low / Median / High Price $350.05 / $412.08 / $589.89	Professional		$350.05	$412.08	$589.89