Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $181.90 / $948.49 / $4,933.00	Facility		$181.90	$948.49	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $105.55 / $181.90 / $284.07	Professional		$105.55	$181.90	$284.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.91 / $102.91 / $143.47	Professional		$102.91	$102.91	$143.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,180.91 / $2,541.92 / $3,443.90	Facility		$2,180.91	$2,541.92	$3,443.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.50 / $157.00 / $210.10	Professional		$30.50	$157.00	$210.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.62 / $196.45 / $671.89	Professional		$136.62	$196.45	$671.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $185.17 / $393.94 / $4,933.00	Facility		$185.17	$393.94	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $201.08 / $298.27	Professional		$140.69	$201.08	$298.27
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 $188.71 / $225.49 / $302.10	Professional		$188.71	$225.49	$302.10