Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $389.05 / $2,511.89 / $3,090.30	Facility		$389.05	$2,511.89	$3,090.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $309.03 / $467.74	Professional		$234.42	$309.03	$467.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $380.19 / $512.86 / $676.08	Professional		$380.19	$512.86	$676.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $870.96 / $2,041.74 / $3,890.45	Facility		$870.96	$2,041.74	$3,890.45
BCBS Facility/Professional Professional Modifier Low / Median / High Price $645.65 / $676.08 / $707.95	Professional		$645.65	$676.08	$707.95
CareSource Facility/Professional Facility Modifier Low / Median / High Price $354.81 / $354.81 / $354.81	Facility		$354.81	$354.81	$354.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $794.33	Professional		$263.03	$363.08	$794.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $524.81 / $1,445.44 / $3,090.30	Facility		$524.81	$1,445.44	$3,090.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $309.03 / $512.86 / $831.76	Professional		$309.03	$512.86	$831.76
Priority Health Facility/Professional Facility Modifier Low / Median / High Price $363.08 / $363.08 / $363.08	Facility		$363.08	$363.08	$363.08
Priority Health Facility/Professional Professional Modifier Low / Median / High Price $263.03 / $363.08 / $426.58	Professional		$263.03	$363.08	$426.58
United Facility/Professional Facility Modifier Low / Median / High Price $173.78 / $549.54 / $691.83	Facility		$173.78	$549.54	$691.83
United Facility/Professional Professional Modifier Low / Median / High Price $213.80 / $316.23 / $457.09	Professional		$213.80	$316.23	$457.09