Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $153.81 / $324.95 / $4,933.00	Facility		$153.81	$324.95	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $188.45 / $270.80	Professional		$111.07	$188.45	$270.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $242.93 / $242.93 / $242.93	Professional		$242.93	$242.93	$242.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $207.51 / $241.86 / $327.68	Facility		$207.51	$241.86	$327.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.35 / $136.40 / $209.93	Professional		$33.35	$136.40	$209.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.05 / $189.87 / $538.09	Professional		$112.05	$189.87	$538.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $193.80 / $343.14 / $4,933.00	Facility		$193.80	$343.14	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $204.70 / $331.50	Professional		$153.81	$204.70	$331.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $202.65 / $282.48	Professional		$163.59	$202.65	$282.48
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 $197.48 / $228.66 / $315.98	Professional		$197.48	$228.66	$315.98