Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.00 / $2,056.00 / $4,933.00	Facility		$208.00	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.85 / $208.00 / $295.20	Professional		$140.85	$208.00	$295.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $114.27 / $123.47 / $159.19	Professional		$114.27	$123.47	$159.19
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 $36.38 / $180.83 / $288.93	Professional		$36.38	$180.83	$288.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.49 / $218.16 / $761.09	Professional		$155.49	$218.16	$761.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $211.74 / $1,576.69 / $4,933.00	Facility		$211.74	$1,576.69	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $160.59 / $224.26 / $343.60	Professional		$160.59	$224.26	$343.60
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 $1,269.98 / $2,283.00 / $4,504.00	Facility		$1,269.98	$2,283.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $209.50 / $247.65 / $335.88	Professional		$209.50	$247.65	$335.88