Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $388.44 / $2,510.67 / $3,115.48	Facility		$388.44	$2,510.67	$3,115.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $273.57 / $365.33 / $388.44	Professional		$273.57	$365.33	$388.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $510.14 / $510.14 / $680.18	Professional		$510.14	$510.14	$680.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,029.49 / $2,051.15 / $3,735.82	Facility		$1,029.49	$2,051.15	$3,735.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $646.16 / $680.18 / $918.24	Professional		$646.16	$680.18	$918.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $333.35 / $355.48 / $442.12	Facility		$333.35	$355.48	$442.12
CareSource Facility/Professional Professional Modifier Low / Median / High Price $544.14 / $544.14 / $544.14	Professional		$544.14	$544.14	$544.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $361.45 / $361.45 / $361.45	Facility		$361.45	$361.45	$361.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $361.45 / $361.45 / $788.63	Professional		$361.45	$361.45	$788.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $491.53 / $2,457.00 / $3,115.48	Facility		$491.53	$2,457.00	$3,115.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $307.88 / $491.53 / $816.21	Professional		$307.88	$491.53	$816.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $412.73 / $503.33 / $578.82	Professional		$412.73	$503.33	$578.82
United Facility/Professional Professional Modifier Low / Median / High Price $199.27 / $313.74 / $452.44	Professional		$199.27	$313.74	$452.44