Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $335.08 / $1,007.37 / $2,257.64	Facility		$335.08	$1,007.37	$2,257.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.56 / $335.08 / $361.06	Professional		$301.56	$335.08	$361.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $440.06 / $440.06 / $440.06	Professional		$440.06	$440.06	$440.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.07 / $1,769.37 / $3,222.61	Facility		$888.07	$1,769.37	$3,222.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $557.40 / $586.74 / $792.10	Professional		$557.40	$586.74	$792.10
CareSource Facility/Professional Facility Modifier Low / Median / High Price $362.15 / $381.38 / $391.48	Facility		$362.15	$381.38	$391.48
CareSource Facility/Professional Professional Modifier Low / Median / High Price $469.39 / $469.39 / $469.39	Professional		$469.39	$469.39	$469.39
Cigna Facility/Professional Facility Modifier Low / Median / High Price $372.88 / $372.88 / $372.88	Facility		$372.88	$372.88	$372.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $372.88 / $372.88 / $680.25	Professional		$372.88	$372.88	$680.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $424.00 / $1,128.10 / $2,257.64	Facility		$424.00	$1,128.10	$2,257.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $315.14 / $424.00 / $616.07	Professional		$315.14	$424.00	$616.07
Molina Facility/Professional Professional Modifier Low / Median / High Price $356.03 / $434.19 / $499.31	Professional		$356.03	$434.19	$499.31
United Facility/Professional Professional Modifier Low / Median / High Price $231.63 / $277.95 / $419.93	Professional		$231.63	$277.95	$419.93