Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.70 / $216.70 / $570.73	Facility		$216.70	$216.70	$570.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.80 / $227.90 / $278.10	Professional		$203.80	$227.90	$278.10
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $284.58 / $284.58 / $284.58	Professional		$284.58	$284.58	$284.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $574.30 / $1,144.24 / $2,084.04	Facility		$574.30	$1,144.24	$2,084.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $360.47 / $379.44 / $512.24	Professional		$360.47	$379.44	$512.24
CareSource Facility/Professional Facility Modifier Low / Median / High Price $246.64 / $246.64 / $292.14	Facility		$246.64	$246.64	$292.14
CareSource Facility/Professional Professional Modifier Low / Median / High Price $303.55 / $303.55 / $303.55	Professional		$303.55	$303.55	$303.55
Cigna Facility/Professional Facility Modifier Low / Median / High Price $225.12 / $237.10 / $237.10	Facility		$225.12	$237.10	$237.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $225.12 / $237.10 / $439.88	Professional		$225.12	$237.10	$439.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $216.70 / $274.20 / $570.73	Facility		$216.70	$274.20	$570.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $216.69 / $274.20 / $405.37	Professional		$216.69	$274.20	$405.37
Molina Facility/Professional Professional Modifier Low / Median / High Price $230.24 / $280.79 / $322.90	Professional		$230.24	$280.79	$322.90
United Facility/Professional Professional Modifier Low / Median / High Price $148.22 / $181.40 / $271.58	Professional		$148.22	$181.40	$271.58