Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $343.82 / $343.82 / $981.40	Facility		$343.82	$343.82	$981.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $292.62 / $343.82 / $343.82	Professional		$292.62	$343.82	$343.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $451.54 / $602.04 / $602.04	Professional		$451.54	$602.04	$602.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $911.24 / $1,815.54 / $3,306.70	Facility		$911.24	$1,815.54	$3,306.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $571.95 / $602.04 / $812.77	Professional		$571.95	$602.04	$812.77
CareSource Facility/Professional Facility Modifier Low / Median / High Price $391.33 / $391.33 / $391.33	Facility		$391.33	$391.33	$391.33
CareSource Facility/Professional Professional Modifier Low / Median / High Price $481.64 / $481.64 / $481.64	Professional		$481.64	$481.64	$481.64
Cigna Facility/Professional Facility Modifier Low / Median / High Price $382.03 / $382.03 / $382.03	Facility		$382.03	$382.03	$382.03
Cigna Facility/Professional Professional Modifier Low / Median / High Price $382.03 / $382.03 / $697.88	Professional		$382.03	$382.03	$697.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $343.82 / $435.07 / $981.40	Facility		$343.82	$435.07	$981.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $343.82 / $435.07 / $677.16	Professional		$343.82	$435.07	$677.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $365.32 / $445.52 / $512.34	Professional		$365.32	$445.52	$512.34
United Facility/Professional Professional Modifier Low / Median / High Price $250.30 / $300.36 / $462.84	Professional		$250.30	$300.36	$462.84