Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $340.95 / $340.95 / $913.30	Facility		$340.95	$340.95	$913.30
Aetna Facility/Professional Professional Modifier Low / Median / High Price $290.16 / $340.95 / $340.95	Professional		$290.16	$340.95	$340.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $597.02 / $597.02 / $597.02	Professional		$597.02	$597.02	$597.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $903.63 / $1,800.37 / $3,279.07	Facility		$903.63	$1,800.37	$3,279.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $567.16 / $597.02 / $805.98	Professional		$567.16	$597.02	$805.98
CareSource Facility/Professional Facility Modifier Low / Median / High Price $388.06 / $388.06 / $448.62	Facility		$388.06	$388.06	$448.62
CareSource Facility/Professional Professional Modifier Low / Median / High Price $477.62 / $477.62 / $477.62	Professional		$477.62	$477.62	$477.62
Cigna Facility/Professional Facility Modifier Low / Median / High Price $380.63 / $380.63 / $380.63	Facility		$380.63	$380.63	$380.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $380.63 / $380.63 / $692.25	Professional		$380.63	$380.63	$692.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $431.43 / $913.30 / $1,022.81	Facility		$431.43	$913.30	$1,022.81
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $334.70 / $431.43 / $671.49	Professional		$334.70	$431.43	$671.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $362.26 / $441.79 / $508.05	Professional		$362.26	$441.79	$508.05
United Facility/Professional Professional Modifier Low / Median / High Price $248.21 / $297.85 / $458.97	Professional		$248.21	$297.85	$458.97