Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $440.51 / $440.51 / $440.51	Facility		$440.51	$440.51	$440.51
Aetna Facility/Professional Professional Modifier Low / Median / High Price $381.77 / $440.51 / $640.45	Professional		$381.77	$440.51	$640.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $675.71 / $898.03 / $900.95	Professional		$675.71	$898.03	$900.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $991.37 / $1,975.19 / $3,597.47	Facility		$991.37	$1,975.19	$3,597.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $622.24 / $654.99 / $884.24	Professional		$622.24	$654.99	$884.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $425.74 / $425.74 / $464.74	Facility		$425.74	$425.74	$464.74
CareSource Facility/Professional Professional Modifier Low / Median / High Price $523.99 / $523.99 / $523.99	Professional		$523.99	$523.99	$523.99
Cigna Facility/Professional Facility Modifier Low / Median / High Price $636.97 / $636.97 / $712.60	Facility		$636.97	$636.97	$712.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $636.97 / $636.97 / $898.90	Professional		$636.97	$636.97	$898.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $440.51 / $739.43 / $739.43	Facility		$440.51	$739.43	$739.43
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $440.51 / $654.99 / $813.37	Professional		$440.51	$654.99	$813.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $664.54 / $996.81	Professional		$30.00	$664.54	$996.81
United Facility/Professional Professional Modifier Low / Median / High Price $346.27 / $516.82 / $831.05	Professional		$346.27	$516.82	$831.05