Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $146.44 / $196.08 / $4,933.00	Facility		$146.44	$196.08	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.51 / $153.15 / $205.88	Professional		$113.51	$153.15	$205.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.63 / $141.63 / $141.63	Professional		$141.63	$141.63	$141.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $833.92 / $971.97 / $1,316.86	Facility		$833.92	$971.97	$1,316.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.15 / $129.13 / $198.75	Professional		$37.15	$129.13	$198.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $130.21 / $177.26 / $512.19	Professional		$130.21	$177.26	$512.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $146.44 / $196.08 / $4,933.00	Facility		$146.44	$196.08	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $140.56 / $169.90 / $231.34	Professional		$140.56	$169.90	$231.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.22 / $168.68 / $236.61	Professional		$137.22	$168.68	$236.61
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 $161.76 / $191.17 / $264.73	Professional		$161.76	$191.17	$264.73