Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.10 / $321.55 / $4,933.00	Facility		$215.10	$321.55	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.02 / $244.13 / $385.86	Professional		$164.02	$244.13	$385.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,027.30 / $2,362.89 / $3,201.33	Facility		$2,027.30	$2,362.89	$3,201.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $55.28 / $276.38 / $435.30	Professional		$55.28	$276.38	$435.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $185.33 / $263.97 / $768.29	Professional		$185.33	$263.97	$768.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $218.97 / $311.75 / $4,933.00	Facility		$218.97	$311.75	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $215.09 / $270.50 / $385.86	Professional		$215.09	$270.50	$385.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $178.43 / $239.48 / $337.85	Professional		$178.43	$239.48	$337.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,269.98 / $3,260.00 / $6,327.00	Facility		$1,269.98	$3,260.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $252.05 / $306.95 / $388.21	Professional		$252.05	$306.95	$388.21