Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $118.29 / $327.08 / $2,856.29	Facility		$118.29	$327.08	$2,856.29
Aetna Facility/Professional Professional Modifier Low / Median / High Price $109.68 / $174.75 / $239.43	Professional		$109.68	$174.75	$239.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.94 / $87.94 / $87.94	Professional		$87.94	$87.94	$87.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $510.01 / $594.42 / $805.36	Facility		$510.01	$594.42	$805.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.06 / $170.91 / $308.13	Professional		$29.06	$170.91	$308.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $118.30 / $187.39 / $461.83	Professional		$118.30	$187.39	$461.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $118.30 / $440.30 / $4,933.00	Facility		$118.30	$440.30	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $118.29 / $200.99 / $277.74	Professional		$118.29	$200.99	$277.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $172.02 / $244.86	Professional		$118.03	$172.02	$244.86
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $176.08 / $225.39 / $286.91	Professional		$176.08	$225.39	$286.91