Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $65.55 / $464.00 / $4,933.00	Facility		$65.55	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.54 / $108.00 / $163.03	Professional		$65.54	$108.00	$163.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.15 / $119.15 / $119.15	Professional		$119.15	$119.15	$119.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $145.32 / $169.38 / $229.48	Facility		$145.32	$169.38	$229.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.08 / $76.02 / $133.28	Professional		$12.08	$76.02	$133.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.22 / $117.67 / $267.52	Professional		$66.22	$117.67	$267.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $129.38 / $1,194.80 / $4,933.00	Facility		$129.38	$1,194.80	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.55 / $129.38 / $170.79	Professional		$65.55	$129.38	$170.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.32 / $141.24	Professional		$81.79	$101.32	$141.24
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 $112.71 / $145.49 / $191.96	Professional		$112.71	$145.49	$191.96