Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.24 / $2,842.45 / $3,510.00	Facility		$476.24	$2,842.45	$3,510.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $436.56 / $476.24 / $519.50	Professional		$436.56	$476.24	$519.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $469.09 / $625.45 / $833.93	Professional		$469.09	$625.45	$833.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,262.21 / $2,514.80 / $4,580.28	Facility		$1,262.21	$2,514.80	$4,580.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $792.23 / $833.93 / $1,125.81	Professional		$792.23	$833.93	$1,125.81
CareSource Facility/Professional Facility Modifier Low / Median / High Price $521.07 / $542.04 / $600.36	Facility		$521.07	$542.04	$600.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $667.14 / $667.14 / $667.14	Professional		$667.14	$667.14	$667.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $544.74 / $544.74 / $544.74	Facility		$544.74	$544.74	$544.74
Cigna Facility/Professional Professional Modifier Low / Median / High Price $544.74 / $544.74 / $966.75	Professional		$544.74	$544.74	$966.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $602.63 / $2,842.44 / $3,510.00	Facility		$602.63	$2,842.44	$3,510.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $447.91 / $602.63 / $959.01	Professional		$447.91	$602.63	$959.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $506.03 / $617.11 / $709.67	Professional		$506.03	$617.11	$709.67
United Facility/Professional Professional Modifier Low / Median / High Price $313.14 / $398.67 / $596.86	Professional		$313.14	$398.67	$596.86