Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.18 / $313.18 / $766.32	Facility		$313.18	$313.18	$766.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.42 / $294.55 / $323.64	Professional		$271.42	$294.55	$323.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $411.29 / $411.29 / $411.29	Professional		$411.29	$411.29	$411.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $830.03 / $1,653.72 / $3,011.98	Facility		$830.03	$1,653.72	$3,011.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $520.97 / $548.39 / $740.33	Professional		$520.97	$548.39	$740.33
CareSource Facility/Professional Facility Modifier Low / Median / High Price $347.88 / $356.45 / $358.36	Facility		$347.88	$356.45	$358.36
CareSource Facility/Professional Professional Modifier Low / Median / High Price $438.71 / $438.71 / $438.71	Professional		$438.71	$438.71	$438.71
Cigna Facility/Professional Facility Modifier Low / Median / High Price $321.89 / $336.03 / $336.03	Facility		$321.89	$336.03	$336.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $245.30 / $455.98 / $794.53	Professional		$245.30	$455.98	$794.53
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $313.18 / $396.29 / $766.32	Facility		$313.18	$396.29	$766.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $294.22 / $396.29 / $562.38	Professional		$294.22	$396.29	$562.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $332.76 / $405.81 / $466.68	Professional		$332.76	$405.81	$466.68
United Facility/Professional Professional Modifier Low / Median / High Price $191.35 / $257.52 / $392.49	Professional		$191.35	$257.52	$392.49