Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.26 / $286.49 / $2,878.00	Facility		$121.26	$286.49	$2,878.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.04 / $159.55 / $343.78	Professional		$90.04	$159.55	$343.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $91.08 / $91.08 / $265.70	Professional		$91.08	$91.08	$265.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $548.95 / $639.82 / $866.86	Facility		$548.95	$639.82	$866.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.00 / $83.78 / $133.97	Professional		$21.00	$83.78	$133.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $98.01 / $173.06 / $465.13	Professional		$98.01	$173.06	$465.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $121.27 / $286.49 / $3,087.82	Facility		$121.27	$286.49	$3,087.82
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $121.26 / $175.50 / $343.78	Professional		$121.26	$175.50	$343.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $191.96 / $283.33	Professional		$30.66	$191.96	$283.33
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $172.94 / $204.98 / $295.10	Professional		$172.94	$204.98	$295.10