Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.88 / $1,954.72 / $4,933.00	Facility		$191.88	$1,954.72	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.44 / $194.75 / $358.52	Professional		$131.44	$194.75	$358.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $114.82 / $191.76	Professional		$94.18	$114.82	$191.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,239.42 / $2,610.12 / $3,536.30	Facility		$2,239.42	$2,610.12	$3,536.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.58 / $165.85 / $246.91	Professional		$33.58	$165.85	$246.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.35 / $207.35 / $696.35	Professional		$142.35	$207.35	$696.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $191.88 / $2,056.00 / $4,933.00	Facility		$191.88	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.06 / $215.83 / $339.60	Professional		$138.06	$215.83	$339.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.02 / $185.86 / $259.82	Professional		$149.02	$185.86	$259.82
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.42 / $239.66 / $328.04	Professional		$204.42	$239.66	$328.04