Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $239.40 / $486.03 / $2,877.00	Facility		$239.40	$486.03	$2,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $173.16 / $282.99 / $443.60	Professional		$173.16	$282.99	$443.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $104.15 / $104.15	Professional		$104.15	$104.15	$104.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $727.58 / $848.02 / $1,148.93	Facility		$727.58	$848.02	$1,148.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.43 / $206.26 / $328.16	Professional		$43.43	$206.26	$328.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $204.19 / $313.05 / $861.80	Professional		$204.19	$313.05	$861.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $239.40 / $456.95 / $3,776.21	Facility		$239.40	$456.95	$3,776.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $218.11 / $309.76 / $462.88	Professional		$218.11	$309.76	$462.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $266.66 / $396.89	Professional		$32.05	$266.66	$396.89
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 $285.02 / $346.01 / $463.19	Professional		$285.02	$346.01	$463.19