Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $980.41 / $980.41 / $980.41	Facility		$980.41	$980.41	$980.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $760.19 / $980.41 / $980.41	Professional		$760.19	$980.41	$980.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,287.55 / $1,287.55 / $1,287.55	Professional		$1,287.55	$1,287.55	$1,287.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,598.38 / $5,176.97 / $9,428.96	Facility		$2,598.38	$5,176.97	$9,428.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,630.89 / $1,716.73 / $2,317.59	Professional		$1,630.89	$1,716.73	$2,317.59
CareSource Facility/Professional Facility Modifier Low / Median / High Price $936.90 / $936.90 / $1,115.86	Facility		$936.90	$936.90	$1,115.86
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,373.38 / $1,373.38 / $1,373.38	Professional		$1,373.38	$1,373.38	$1,373.38
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,200.11	Facility		$1,200.11	$1,200.11	$1,200.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,200.11 / $1,200.11 / $1,990.13	Professional		$1,200.11	$1,200.11	$1,990.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $980.41 / $1,240.59 / $1,240.59	Facility		$980.41	$1,240.59	$1,240.59
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $962.10 / $1,240.59 / $1,802.56	Professional		$962.10	$1,240.59	$1,802.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,041.71 / $1,270.38 / $1,460.93	Professional		$1,041.71	$1,270.38	$1,460.93
United Facility/Professional Professional Modifier Low / Median / High Price $599.25 / $820.71 / $1,169.86	Professional		$599.25	$820.71	$1,169.86