Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $417.09 / $417.09 / $1,550.72	Facility		$417.09	$417.09	$1,550.72
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.48 / $434.45 / $586.95	Professional		$361.48	$434.45	$586.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $634.26 / $845.68 / $845.68	Professional		$634.26	$845.68	$845.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $945.75 / $1,884.30 / $3,431.93	Facility		$945.75	$1,884.30	$3,431.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $593.61 / $624.85 / $843.55	Professional		$593.61	$624.85	$843.55
CareSource Facility/Professional Facility Modifier Low / Median / High Price $406.15 / $406.15 / $443.35	Facility		$406.15	$406.15	$443.35
CareSource Facility/Professional Professional Modifier Low / Median / High Price $499.88 / $499.88 / $499.88	Professional		$499.88	$499.88	$499.88
Cigna Facility/Professional Facility Modifier Low / Median / High Price $621.29 / $647.80 / $647.80	Facility		$621.29	$647.80	$647.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.90 / $720.76 / $892.03	Professional		$472.90	$720.76	$892.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $417.09 / $690.32 / $1,550.72	Facility		$417.09	$690.32	$1,550.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $417.09 / $624.85 / $759.35	Professional		$417.09	$624.85	$759.35
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $625.79 / $938.70	Professional		$30.00	$625.79	$938.70
United Facility/Professional Professional Modifier Low / Median / High Price $330.16 / $482.50 / $804.16	Professional		$330.16	$482.50	$804.16