Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.15 / $370.80 / $830.00	Facility		$178.15	$370.80	$830.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $167.55 / $195.31 / $396.00	Professional		$167.55	$195.31	$396.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $233.96 / $233.96 / $311.94	Professional		$233.96	$233.96	$311.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $472.14 / $940.69 / $1,713.30	Facility		$472.14	$940.69	$1,713.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $296.33 / $311.94 / $421.12	Professional		$296.33	$311.94	$421.12
CareSource Facility/Professional Facility Modifier Low / Median / High Price $202.76 / $311.94 / $463.31	Facility		$202.76	$311.94	$463.31
CareSource Facility/Professional Professional Modifier Low / Median / High Price $249.55 / $405.52 / $464.00	Professional		$249.55	$405.52	$464.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $214.16 / $214.16 / $291.73	Facility		$214.16	$214.16	$291.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $195.23 / $214.16 / $361.50	Professional		$195.23	$214.16	$361.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $93.83 / $415.00 / $830.00	Facility		$93.83	$415.00	$830.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $93.83 / $181.35 / $350.00	Professional		$93.83	$181.35	$350.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $196.21 / $230.84 / $265.46	Professional		$196.21	$230.84	$265.46
United Facility/Professional Facility Modifier Low / Median / High Price $2.57 / $154.24 / $197.46	Facility		$2.57	$154.24	$197.46
United Facility/Professional Professional Modifier Low / Median / High Price $121.85 / $149.13 / $244.15	Professional		$121.85	$149.13	$244.15