Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $196.26 / $2,853.96 / $4,933.00	Facility		$196.26	$2,853.96	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.08 / $196.26 / $391.60	Professional		$155.08	$196.26	$391.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $210.39 / $247.21 / $368.06	Professional		$210.39	$247.21	$368.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $172.71 / $172.71 / $189.81	Professional		$172.71	$172.71	$189.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $187.88 / $2,056.00 / $4,933.00	Facility		$187.88	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $187.88 / $196.26 / $339.74	Professional		$187.88	$196.26	$339.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $100.00	Professional		$75.00	$75.00	$100.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $169.62 / $245.50 / $578.61	Professional		$169.62	$245.50	$578.61