Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $249.74 / $620.00 / $4,933.00	Facility		$249.74	$620.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.40 / $317.92 / $461.38	Professional		$190.40	$317.92	$461.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $243.22 / $243.22 / $243.22	Professional		$243.22	$243.22	$243.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $276.95 / $323.06 / $435.51	Facility		$276.95	$323.06	$435.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.94 / $202.00 / $403.99	Professional		$54.94	$202.00	$403.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $215.47 / $336.68 / $894.90	Professional		$215.47	$336.68	$894.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $352.15 / $2,877.00 / $4,933.00	Facility		$352.15	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $249.74 / $352.15 / $553.65	Professional		$249.74	$352.15	$553.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $311.14 / $449.25	Professional		$32.05	$311.14	$449.25
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 $266.05 / $386.88 / $488.72	Professional		$266.05	$386.88	$488.72