Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $87.41 / $161.79 / $2,056.00	Facility		$87.41	$161.79	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $76.31 / $113.04 / $198.81	Professional		$76.31	$113.04	$198.81
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.38 / $85.38 / $85.38	Professional		$85.38	$85.38	$85.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $284.85 / $332.01 / $449.82	Facility		$284.85	$332.01	$449.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.47 / $99.14 / $147.22	Professional		$19.47	$99.14	$147.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $63.68 / $135.22 / $287.75	Professional		$63.68	$135.22	$287.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $88.98 / $192.78 / $2,056.00	Facility		$88.98	$192.78	$2,056.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.40 / $132.69 / $203.52	Professional		$87.40	$132.69	$203.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.26 / $101.32 / $141.24	Professional		$82.26	$101.32	$141.24
United Facility/Professional Facility Modifier Low / Median / High Price $267.42 / $1,205.00 / $2,029.00	Facility		$267.42	$1,205.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $121.52 / $149.12 / $244.27	Professional		$121.52	$149.12	$244.27