Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.41 / $699.72 / $4,463.38	Facility		$208.41	$699.72	$4,463.38
Aetna Facility/Professional Professional Modifier Low / Median / High Price $150.53 / $209.34 / $328.77	Professional		$150.53	$209.34	$328.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.96 / $166.96 / $166.96	Professional		$166.96	$166.96	$166.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,986.56 / $3,480.94 / $4,716.12	Facility		$2,986.56	$3,480.94	$4,716.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.26 / $145.22 / $257.04	Professional		$32.26	$145.22	$257.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $157.07 / $225.09 / $766.85	Professional		$157.07	$225.09	$766.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $212.16 / $344.28 / $4,933.00	Facility		$212.16	$344.28	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $172.18 / $232.22 / $333.44	Professional		$172.18	$232.22	$333.44
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 $219.06 / $261.13 / $347.67	Professional		$219.06	$261.13	$347.67