Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $272.80 / $272.80 / $272.80	Facility		$272.80	$272.80	$272.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.33 / $272.80 / $272.80	Professional		$227.33	$272.80	$272.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $358.26 / $477.68 / $477.68	Professional		$358.26	$477.68	$477.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $723.00 / $1,440.49 / $2,623.61	Facility		$723.00	$1,440.49	$2,623.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $453.80 / $477.68 / $644.87	Professional		$453.80	$477.68	$644.87
CareSource Facility/Professional Facility Modifier Low / Median / High Price $274.95 / $295.95 / $310.49	Facility		$274.95	$295.95	$310.49
CareSource Facility/Professional Professional Modifier Low / Median / High Price $382.14 / $382.14 / $382.14	Professional		$382.14	$382.14	$382.14
Cigna Facility/Professional Facility Modifier Low / Median / High Price $293.77 / $293.77 / $293.77	Facility		$293.77	$293.77	$293.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $293.77 / $293.77 / $553.88	Professional		$293.77	$293.77	$553.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $272.80 / $345.19 / $345.19	Facility		$272.80	$345.19	$345.19
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $254.61 / $345.19 / $501.56	Professional		$254.61	$345.19	$501.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $289.85 / $353.48 / $406.50	Professional		$289.85	$353.48	$406.50
United Facility/Professional Facility Modifier Low / Median / High Price $479.40 / $564.00 / $564.00	Facility		$479.40	$564.00	$564.00
United Facility/Professional Professional Modifier Low / Median / High Price $175.86 / $228.36 / $337.60	Professional		$175.86	$228.36	$337.60