Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $275.04 / $2,056.00 / $4,933.00	Facility		$275.04	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $185.20 / $275.04 / $325.25	Professional		$185.20	$275.04	$325.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $431.41 / $431.41 / $431.41	Professional		$431.41	$431.41	$431.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.38 / $447.38 / $447.38	Professional		$447.38	$447.38	$447.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.55 / $390.05 / $1,140.25	Professional		$325.55	$390.05	$1,140.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $307.08 / $2,056.00 / $4,933.00	Facility		$307.08	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $275.04 / $307.08 / $402.67	Professional		$275.04	$307.08	$402.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,438.00 / $1,844.00	Facility		$300.00	$1,438.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $286.38 / $375.16 / $511.81	Professional		$286.38	$375.16	$511.81