Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.29 / $961.45 / $1,393.47	Facility		$335.29	$961.45	$1,393.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.58 / $352.05 / $478.72	Professional		$290.58	$352.05	$478.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $514.35 / $514.35 / $514.35	Professional		$514.35	$514.35	$514.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $751.08 / $1,496.43 / $2,725.49	Facility		$751.08	$1,496.43	$2,725.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $471.42 / $496.23 / $669.91	Professional		$471.42	$496.23	$669.91
CareSource Facility/Professional Facility Modifier Low / Median / High Price $322.55 / $496.23 / $737.03	Facility		$322.55	$496.23	$737.03
CareSource Facility/Professional Professional Modifier Low / Median / High Price $396.98 / $645.10 / $758.35	Professional		$396.98	$645.10	$758.35
Cigna Facility/Professional Facility Modifier Low / Median / High Price $465.67 / $465.67 / $489.93	Facility		$465.67	$465.67	$489.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $465.67 / $465.67 / $690.06	Professional		$465.67	$465.67	$690.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $232.02 / $961.45 / $1,393.47	Facility		$232.02	$961.45	$1,393.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $232.02 / $335.29 / $595.48	Professional		$232.02	$335.29	$595.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $431.36 / $507.49 / $583.61	Professional		$431.36	$507.49	$583.61
United Facility/Professional Professional Modifier Low / Median / High Price $241.24 / $389.73 / $630.05	Professional		$241.24	$389.73	$630.05