Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,463.04 / $2,463.04 / $2,463.04	Facility		$2,463.04	$2,463.04	$2,463.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,018.73 / $2,463.04 / $2,463.04	Professional		$2,018.73	$2,463.04	$2,463.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,234.65 / $3,234.65 / $3,234.65	Professional		$3,234.65	$3,234.65	$3,234.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,527.80 / $13,005.89 / $23,688.01	Facility		$6,527.80	$13,005.89	$23,688.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4,097.22 / $4,312.87 / $5,822.37	Professional		$4,097.22	$4,312.87	$5,822.37
CareSource Facility/Professional Facility Modifier Low / Median / High Price $2,564.15 / $2,803.37 / $3,110.66	Facility		$2,564.15	$2,803.37	$3,110.66
CareSource Facility/Professional Professional Modifier Low / Median / High Price $3,450.30 / $3,450.30 / $3,450.30	Professional		$3,450.30	$3,450.30	$3,450.30
Cigna Facility/Professional Facility Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $2,481.10	Facility		$2,481.10	$2,481.10	$2,481.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,481.10 / $2,481.10 / $4,999.88	Professional		$2,481.10	$2,481.10	$4,999.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,463.04 / $3,116.67 / $3,116.67	Facility		$2,463.04	$3,116.67	$3,116.67
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,338.69 / $3,116.67 / $4,528.51	Professional		$2,338.69	$3,116.67	$4,528.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,617.04 / $3,191.52 / $3,670.24	Professional		$2,617.04	$3,191.52	$3,670.24
United Facility/Professional Facility Modifier Low / Median / High Price $32.51 / $2,600.65 / $2,965.23	Facility		$32.51	$2,600.65	$2,965.23
United Facility/Professional Professional Modifier Low / Median / High Price $1,640.03 / $2,061.82 / $3,086.80	Professional		$1,640.03	$2,061.82	$3,086.80