Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.38 / $499.45 / $499.45	Facility		$132.38	$499.45	$499.45
Aetna Facility/Professional Professional Modifier Low / Median / High Price $467.86 / $499.45 / $599.33	Professional		$467.86	$499.45	$599.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $655.92 / $655.92 / $874.56	Professional		$655.92	$655.92	$874.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,323.70 / $2,637.32 / $4,803.43	Facility		$1,323.70	$2,637.32	$4,803.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $830.83 / $874.56 / $1,180.66	Professional		$830.83	$874.56	$1,180.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $527.11 / $568.46 / $590.67	Facility		$527.11	$568.46	$590.67
CareSource Facility/Professional Professional Modifier Low / Median / High Price $699.65 / $699.65 / $699.65	Professional		$699.65	$699.65	$699.65
Cigna Facility/Professional Facility Modifier Low / Median / High Price $510.00 / $510.00 / $516.29	Facility		$510.00	$510.00	$516.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $510.00 / $510.00 / $1,014.00	Professional		$510.00	$510.00	$1,014.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $132.38 / $508.44 / $632.00	Facility		$132.38	$508.44	$632.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $486.62 / $632.00 / $1,005.74	Professional		$486.62	$632.00	$1,005.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $530.67 / $647.16 / $744.24	Professional		$530.67	$647.16	$744.24
United Facility/Professional Professional Modifier Low / Median / High Price $316.49 / $404.56 / $618.54	Professional		$316.49	$404.56	$618.54