Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $125.00 / $1,234.77 / $1,234.77	Professional		$125.00	$1,234.77	$1,234.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $56.00 / $56.00 / $56.00	Professional		$56.00	$56.00	$56.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $92.42 / $907.75 / $1,210.34	Facility		$92.42	$907.75	$1,210.34
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,069.38 / $3,069.38 / $3,069.38	Professional		$3,069.38	$3,069.38	$3,069.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $228.57 / $228.57 / $228.57	Facility		$228.57	$228.57	$228.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.57 / $228.57 / $228.57	Professional		$228.57	$228.57	$228.57
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.43 / $346.50 / $1,234.77	Professional		$50.43	$346.50	$1,234.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00