Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $3,028.48 / $3,028.48 / $3,028.48	Facility		$3,028.48	$3,028.48	$3,028.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,785.47 / $2,637.83 / $3,028.48	Professional		$1,785.47	$2,637.83	$3,028.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,378.17 / $2,378.17 / $2,378.17	Professional		$2,378.17	$2,378.17	$2,378.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $990.43 / $12,645.54 / $16,860.70	Facility		$990.43	$12,645.54	$16,860.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $270.07 / $3,335.35 / $4,739.70	Professional		$270.07	$3,335.35	$4,739.70
CareSource Facility/Professional Facility Modifier Low / Median / High Price $217.34 / $221.60 / $2,715.69	Facility		$217.34	$221.60	$2,715.69
CareSource Facility/Professional Professional Modifier Low / Median / High Price $267.50 / $267.50 / $2,674.96	Professional		$267.50	$267.50	$2,674.96
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,592.00 / $2,592.00 / $3,055.80	Facility		$2,592.00	$2,592.00	$3,055.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $296.08 / $2,592.00 / $3,373.90	Professional		$296.08	$2,592.00	$3,373.90
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,491.10 / $2,813.89 / $5,015.55	Professional		$1,491.10	$2,813.89	$5,015.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $276.72 / $380.50 / $3,459.10	Professional		$276.72	$380.50	$3,459.10
United Facility/Professional Professional Modifier Low / Median / High Price $1,064.77 / $1,691.90 / $2,491.73	Professional		$1,064.77	$1,691.90	$2,491.73