Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.24 / $275.24 / $721.66	Facility		$275.24	$275.24	$721.66
Aetna Facility/Professional Professional Modifier Low / Median / High Price $235.34 / $275.24 / $282.77	Professional		$235.34	$275.24	$282.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $361.48 / $361.48 / $481.97	Professional		$361.48	$361.48	$481.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $729.49 / $1,453.43 / $2,647.17	Facility		$729.49	$1,453.43	$2,647.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.87 / $481.97 / $650.66	Professional		$457.87	$481.97	$650.66
CareSource Facility/Professional Facility Modifier Low / Median / High Price $283.63 / $313.27 / $316.04	Facility		$283.63	$313.27	$316.04
CareSource Facility/Professional Professional Modifier Low / Median / High Price $385.58 / $385.58 / $385.58	Professional		$385.58	$385.58	$385.58
Cigna Facility/Professional Facility Modifier Low / Median / High Price $311.77 / $311.77 / $311.77	Facility		$311.77	$311.77	$311.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $311.77 / $311.77 / $558.75	Professional		$311.77	$311.77	$558.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $348.30 / $644.44 / $721.66	Facility		$348.30	$644.44	$721.66
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $270.20 / $348.30 / $506.06	Professional		$270.20	$348.30	$506.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $292.46 / $356.66 / $410.15	Professional		$292.46	$356.66	$410.15
United Facility/Professional Professional Modifier Low / Median / High Price $181.41 / $230.41 / $340.63	Professional		$181.41	$230.41	$340.63