Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.00 / $314.98 / $3,149.94	Facility		$169.00	$314.98	$3,149.94
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.58 / $225.96 / $382.86	Professional		$146.58	$225.96	$382.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.70 / $239.95 / $359.93	Professional		$125.70	$239.95	$359.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $591.65 / $689.59 / $934.29	Facility		$591.65	$689.59	$934.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.25 / $146.53 / $295.80	Professional		$37.25	$146.53	$295.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $147.62 / $244.65 / $612.90	Professional		$147.62	$244.65	$612.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $164.14 / $309.32 / $3,149.94	Facility		$164.14	$309.32	$3,149.94
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $169.00 / $238.79 / $382.86	Professional		$169.00	$238.79	$382.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.66 / $192.46 / $283.03	Professional		$30.66	$192.46	$283.03
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,209.00 / $2,029.00	Facility		$464.00	$1,209.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $230.46 / $272.45 / $364.65	Professional		$230.46	$272.45	$364.65