Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.63 / $334.63 / $875.39	Facility		$334.63	$334.63	$875.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $284.77 / $334.63 / $334.63	Professional		$284.77	$334.63	$334.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $439.46 / $439.46 / $439.46	Professional		$439.46	$439.46	$439.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $886.86 / $1,766.96 / $3,218.22	Facility		$886.86	$1,766.96	$3,218.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $556.64 / $585.94 / $791.02	Professional		$556.64	$585.94	$791.02
CareSource Facility/Professional Facility Modifier Low / Median / High Price $380.86 / $380.86 / $380.86	Facility		$380.86	$380.86	$380.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $468.75 / $468.75 / $468.75	Professional		$468.75	$468.75	$468.75
Cigna Facility/Professional Facility Modifier Low / Median / High Price $379.03 / $379.03 / $379.03	Facility		$379.03	$379.03	$379.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.69 / $487.20 / $848.91	Professional		$276.69	$487.20	$848.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $423.42 / $782.03 / $875.39	Facility		$423.42	$782.03	$875.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $312.32 / $423.42 / $615.23	Professional		$312.32	$423.42	$615.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $355.55 / $433.60 / $498.64	Professional		$355.55	$433.60	$498.64
United Facility/Professional Professional Modifier Low / Median / High Price $243.60 / $292.32 / $487.20	Professional		$243.60	$292.32	$487.20