Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $445.68 / $445.68 / $445.68	Facility		$445.68	$445.68	$445.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.00 / $427.95 / $445.68	Professional		$226.00	$427.95	$445.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $339.99 / $339.99 / $339.99	Professional		$339.99	$339.99	$339.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.35 / $1,600.50 / $2,133.98	Facility		$125.35	$1,600.50	$2,133.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.47 / $422.14 / $599.89	Professional		$32.47	$422.14	$599.89
CareSource Facility/Professional Facility Modifier Low / Median / High Price $27.51 / $78.55 / $785.41	Facility		$27.51	$78.55	$785.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $33.86 / $507.84	Professional		$33.86	$33.86	$507.84
Cigna Facility/Professional Facility Modifier Low / Median / High Price $330.77 / $330.77 / $396.27	Facility		$330.77	$330.77	$396.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $330.77 / $344.90 / $632.80	Professional		$330.77	$344.90	$632.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $135.40 / $352.96 / $547.92	Professional		$135.40	$352.96	$547.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $56.16 / $436.63 / $684.92	Professional		$56.16	$436.63	$684.92
United Facility/Professional Professional Modifier Low / Median / High Price $208.24 / $291.51 / $521.48	Professional		$208.24	$291.51	$521.48