Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $576.39 / $576.39 / $1,572.48	Facility		$576.39	$576.39	$1,572.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $499.54 / $576.39 / $596.90	Professional		$499.54	$576.39	$596.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $567.73 / $567.73 / $567.73	Professional		$567.73	$567.73	$567.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,527.63 / $3,043.61 / $5,543.42	Facility		$1,527.63	$3,043.61	$5,543.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $958.83 / $1,009.29 / $1,362.54	Professional		$958.83	$1,009.29	$1,362.54
CareSource Facility/Professional Facility Modifier Low / Median / High Price $656.04 / $711.74 / $737.52	Facility		$656.04	$711.74	$737.52
CareSource Facility/Professional Professional Modifier Low / Median / High Price $807.43 / $807.43 / $807.43	Professional		$807.43	$807.43	$807.43
Cigna Facility/Professional Facility Modifier Low / Median / High Price $632.51 / $632.51 / $632.51	Facility		$632.51	$632.51	$632.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $627.19 / $632.51 / $1,170.00	Professional		$627.19	$632.51	$1,170.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $576.39 / $729.35 / $1,572.48	Facility		$576.39	$729.35	$1,572.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $542.10 / $729.35 / $1,059.75	Professional		$542.10	$729.35	$1,059.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $612.43 / $746.87 / $858.90	Professional		$612.43	$746.87	$858.90
United Facility/Professional Professional Modifier Low / Median / High Price $359.70 / $473.96 / $722.35	Professional		$359.70	$473.96	$722.35