Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.54 / $263.30 / $4,933.00	Facility		$172.54	$263.30	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $123.76 / $194.52 / $302.79	Professional		$123.76	$194.52	$302.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $135.72 / $135.72 / $135.72	Professional		$135.72	$135.72	$135.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $253.70 / $295.70 / $400.62	Facility		$253.70	$295.70	$400.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.76 / $117.66 / $237.51	Professional		$26.76	$117.66	$237.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $128.74 / $197.15 / $627.29	Professional		$128.74	$197.15	$627.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $181.16 / $1,525.45 / $4,933.00	Facility		$181.16	$1,525.45	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $147.84 / $226.10 / $315.95	Professional		$147.84	$226.10	$315.95
Molina Facility/Professional Professional Modifier Low / Median / High Price $176.26 / $219.44 / $305.01	Professional		$176.26	$219.44	$305.01
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 $208.70 / $249.98 / $316.68	Professional		$208.70	$249.98	$316.68