Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.69 / $473.95 / $1,532.47	Facility		$371.69	$473.95	$1,532.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $411.37 / $452.51 / $556.39	Professional		$411.37	$452.51	$556.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $622.42 / $622.42 / $622.42	Professional		$622.42	$622.42	$622.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,256.11 / $2,502.67 / $4,558.20	Facility		$1,256.11	$2,502.67	$4,558.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $788.41 / $829.91 / $1,120.38	Professional		$788.41	$829.91	$1,120.38
CareSource Facility/Professional Facility Modifier Low / Median / High Price $517.89 / $539.44 / $593.61	Facility		$517.89	$539.44	$593.61
CareSource Facility/Professional Professional Modifier Low / Median / High Price $663.93 / $663.93 / $663.93	Professional		$663.93	$663.93	$663.93
Cigna Facility/Professional Facility Modifier Low / Median / High Price $460.00 / $460.00 / $460.00	Facility		$460.00	$460.00	$460.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $459.38 / $460.00 / $962.25	Professional		$459.38	$460.00	$962.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $371.69 / $599.74 / $1,532.47	Facility		$371.69	$599.74	$1,532.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $411.37 / $599.74 / $850.00	Professional		$411.37	$599.74	$850.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $503.58 / $614.13 / $706.24	Professional		$503.58	$614.13	$706.24
United Facility/Professional Professional Modifier Low / Median / High Price $267.55 / $385.87 / $554.53	Professional		$267.55	$385.87	$554.53