Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $577.85 / $577.85 / $1,903.82	Facility		$577.85	$577.85	$1,903.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $480.02 / $577.85 / $577.85	Professional		$480.02	$577.85	$577.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $758.89 / $758.89 / $1,011.85	Professional		$758.89	$758.89	$1,011.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,531.50 / $3,051.33 / $5,557.48	Facility		$1,531.50	$3,051.33	$5,557.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $961.26 / $1,011.85 / $1,366.00	Professional		$961.26	$1,011.85	$1,366.00
CareSource Facility/Professional Facility Modifier Low / Median / High Price $641.95 / $657.70 / $661.28	Facility		$641.95	$657.70	$661.28
CareSource Facility/Professional Professional Modifier Low / Median / High Price $809.48 / $809.48 / $809.48	Professional		$809.48	$809.48	$809.48
Cigna Facility/Professional Facility Modifier Low / Median / High Price $710.11 / $710.11 / $710.11	Facility		$710.11	$710.11	$710.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $518.38 / $841.34 / $1,466.25	Professional		$518.38	$841.34	$1,466.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $577.85 / $731.23 / $1,903.82	Facility		$577.85	$731.23	$1,903.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $545.17 / $731.23 / $1,214.22	Professional		$545.17	$731.23	$1,214.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $636.45 / $748.77 / $861.08	Professional		$636.45	$748.77	$861.08
United Facility/Professional Professional Modifier Low / Median / High Price $375.81 / $475.18 / $724.22	Professional		$375.81	$475.18	$724.22