Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,235.71 / $1,235.71 / $1,235.71	Facility		$1,235.71	$1,235.71	$1,235.71
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,029.76 / $1,235.71 / $1,235.71	Professional		$1,029.76	$1,235.71	$1,235.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,622.83 / $1,622.83 / $1,622.83	Professional		$1,622.83	$1,622.83	$1,622.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,275.00 / $6,525.06 / $11,884.29	Facility		$3,275.00	$6,525.06	$11,884.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $2,055.58 / $2,163.77 / $2,921.09	Professional		$2,055.58	$2,163.77	$2,921.09
CareSource Facility/Professional Facility Modifier Low / Median / High Price $1,372.74 / $1,406.45 / $1,414.10	Facility		$1,372.74	$1,406.45	$1,414.10
CareSource Facility/Professional Professional Modifier Low / Median / High Price $1,731.02 / $1,731.02 / $1,731.02	Professional		$1,731.02	$1,731.02	$1,731.02
Cigna Facility/Professional Facility Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $1,207.83	Facility		$1,207.83	$1,207.83	$1,207.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,207.83 / $1,207.83 / $2,508.38	Professional		$1,207.83	$1,207.83	$2,508.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,235.71 / $1,563.64 / $1,563.64	Facility		$1,235.71	$1,563.64	$1,563.64
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,153.33 / $1,563.64 / $2,271.94	Professional		$1,153.33	$1,563.64	$2,271.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,312.97 / $1,601.19 / $1,841.36	Professional		$1,312.97	$1,601.19	$1,841.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,055.55 / $1,055.55 / $1,055.55	Facility		$1,055.55	$1,055.55	$1,055.55
United Facility/Professional Professional Modifier Low / Median / High Price $803.61 / $1,034.42 / $1,548.66	Professional		$803.61	$1,034.42	$1,548.66