Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $263.55 / $317.35 / $580.58	Facility		$263.55	$317.35	$580.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.36 / $298.45 / $317.35	Professional		$251.36	$298.45	$317.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.49 / $416.76 / $416.76	Professional		$348.49	$416.76	$416.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $841.06 / $1,675.71 / $3,052.02	Facility		$841.06	$1,675.71	$3,052.02
BCBS Facility/Professional Professional Modifier Low / Median / High Price $527.90 / $555.67 / $750.17	Professional		$527.90	$555.67	$750.17
CareSource Facility/Professional Facility Modifier Low / Median / High Price $302.30 / $306.31 / $361.19	Facility		$302.30	$306.31	$361.19
CareSource Facility/Professional Professional Modifier Low / Median / High Price $444.54 / $444.54 / $444.54	Professional		$444.54	$444.54	$444.54
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.31 / $293.31 / $293.31	Facility		$293.31	$293.31	$293.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $214.12 / $462.05 / $805.31	Professional		$214.12	$462.05	$805.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $263.55 / $401.57 / $581.69	Facility		$263.55	$401.57	$581.69
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $261.62 / $401.57 / $639.03	Professional		$261.62	$401.57	$639.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $337.18 / $411.20 / $472.88	Professional		$337.18	$411.20	$472.88
United Facility/Professional Facility Modifier Low / Median / High Price $493.69 / $580.80 / $580.80	Facility		$493.69	$580.80	$580.80
United Facility/Professional Professional Modifier Low / Median / High Price $181.10 / $260.95 / $397.72	Professional		$181.10	$260.95	$397.72