Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,966.91 / $1,966.91 / $1,966.91	Facility		$1,966.91	$1,966.91	$1,966.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,387.41 / $1,966.91 / $2,058.14	Professional		$1,387.41	$1,966.91	$2,058.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,799.11 / $1,799.11 / $2,583.10	Professional		$1,799.11	$1,799.11	$2,583.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $728.69 / $9,303.83 / $12,405.08	Facility		$728.69	$9,303.83	$12,405.08
BCBS Facility/Professional Professional Modifier Low / Median / High Price $198.70 / $2,453.94 / $3,487.19	Professional		$198.70	$2,453.94	$3,487.19
CareSource Facility/Professional Facility Modifier Low / Median / High Price $167.88 / $1,259.22 / $2,266.41	Facility		$167.88	$1,259.22	$2,266.41
CareSource Facility/Professional Professional Modifier Low / Median / High Price $206.62 / $1,549.81 / $2,066.48	Professional		$206.62	$1,549.81	$2,066.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,460.50 / $1,460.50 / $1,916.91	Facility		$1,460.50	$1,460.50	$1,916.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,460.50 / $1,632.83 / $2,147.80	Professional		$1,460.50	$1,632.83	$2,147.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,057.22 / $1,866.65 / $2,583.10	Professional		$1,057.22	$1,866.65	$2,583.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.88 / $1,224.61 / $1,632.83	Professional		$133.88	$1,224.61	$1,632.83
United Facility/Professional Professional Modifier Low / Median / High Price $857.67 / $1,191.48 / $1,718.87	Professional		$857.67	$1,191.48	$1,718.87