Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $313.18 / $313.18 / $313.18	Facility		$313.18	$313.18	$313.18
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.50 / $313.18 / $379.38	Professional		$276.50	$313.18	$379.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $411.29 / $411.29 / $413.49	Professional		$411.29	$411.29	$413.49
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 $375.73 / $375.73 / $383.66	Facility		$375.73	$375.73	$383.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $375.73 / $375.73 / $635.63	Professional		$375.73	$375.73	$635.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $313.18 / $750.13 / $750.13	Facility		$313.18	$750.13	$750.13
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $313.18 / $548.39 / $750.13	Professional		$313.18	$548.39	$750.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $344.93 / $405.81 / $466.68	Professional		$344.93	$405.81	$466.68
United Facility/Professional Professional Modifier Low / Median / High Price $197.31 / $265.05 / $441.75	Professional		$197.31	$265.05	$441.75