Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $248.42 / $512.59 / $4,933.00	Facility		$248.42	$512.59	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $177.80 / $285.47 / $403.60	Professional		$177.80	$285.47	$403.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $374.78 / $374.78 / $374.78	Professional		$374.78	$374.78	$374.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,494.60 / $1,742.01 / $2,360.15	Facility		$1,494.60	$1,742.01	$2,360.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.27 / $269.33 / $399.01	Professional		$54.27	$269.33	$399.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $177.46 / $280.62 / $889.14	Professional		$177.46	$280.62	$889.14
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $313.52 / $2,451.38 / $4,933.00	Facility		$313.52	$2,451.38	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $211.11 / $313.52 / $453.03	Professional		$211.11	$313.52	$453.03
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $253.74 / $370.32	Professional		$30.66	$253.74	$370.32
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 $273.94 / $346.81 / $468.25	Professional		$273.94	$346.81	$468.25