Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $395.12 / $395.12 / $395.12	Facility		$395.12	$395.12	$395.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $328.03 / $395.12 / $395.12	Professional		$328.03	$395.12	$395.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $518.90 / $518.90 / $518.90	Professional		$518.90	$518.90	$518.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,047.19 / $2,086.40 / $3,800.03	Facility		$1,047.19	$2,086.40	$3,800.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $657.28 / $691.87 / $934.02	Professional		$657.28	$691.87	$934.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $412.88 / $434.82 / $449.72	Facility		$412.88	$434.82	$449.72
CareSource Facility/Professional Professional Modifier Low / Median / High Price $553.50 / $553.50 / $553.50	Professional		$553.50	$553.50	$553.50
Cigna Facility/Professional Facility Modifier Low / Median / High Price $459.90 / $459.90 / $459.90	Facility		$459.90	$459.90	$459.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $335.73 / $575.27 / $1,002.66	Professional		$335.73	$575.27	$1,002.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $395.12 / $499.98 / $499.98	Facility		$395.12	$499.98	$499.98
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $352.32 / $499.98 / $726.46	Professional		$352.32	$499.98	$726.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $419.82 / $511.98 / $588.77	Professional		$419.82	$511.98	$588.77
United Facility/Professional Professional Modifier Low / Median / High Price $252.12 / $330.76 / $479.83	Professional		$252.12	$330.76	$479.83