Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $281.70 / $565.45 / $4,933.00	Facility		$281.70	$565.45	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $174.92 / $310.04 / $456.00	Professional		$174.92	$310.04	$456.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $267.02 / $267.02 / $382.74	Professional		$267.02	$267.02	$382.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.87 / $635.57 / $894.20	Facility		$544.87	$635.57	$894.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $72.51 / $344.40 / $489.42	Professional		$72.51	$344.40	$489.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $251.02 / $375.05 / $1,009.99	Professional		$251.02	$375.05	$1,009.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $354.94 / $565.45 / $4,933.00	Facility		$354.94	$565.45	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $232.21 / $359.79 / $538.52	Professional		$232.21	$359.79	$538.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $311.54 / $447.98	Professional		$32.05	$311.54	$447.98
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 $359.91 / $423.44 / $553.41	Professional		$359.91	$423.44	$553.41