Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.33 / $191.46 / $4,933.00	Facility		$66.33	$191.46	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $53.97 / $129.72 / $186.72	Professional		$53.97	$129.72	$186.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.20 / $139.27 / $139.27	Professional		$126.20	$139.27	$139.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $187.02 / $251.53 / $596.15	Facility		$187.02	$251.53	$596.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.14 / $44.38 / $89.60	Professional		$10.14	$44.38	$89.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.25 / $127.13 / $277.52	Professional		$49.25	$127.13	$277.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $67.52 / $186.72 / $4,933.00	Facility		$67.52	$186.72	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $66.31 / $149.55 / $213.08	Professional		$66.31	$149.55	$213.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $134.77 / $188.01	Professional		$108.90	$134.77	$188.01
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 $141.10 / $171.23 / $227.62	Professional		$141.10	$171.23	$227.62