Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $258.37 / $400.99 / $4,029.00	Facility		$258.37	$400.99	$4,029.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.81 / $287.94 / $400.99	Professional		$190.81	$287.94	$400.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.90 / $227.90 / $227.90	Professional		$227.90	$227.90	$227.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,327.36 / $1,547.09 / $2,096.06	Facility		$1,327.36	$1,547.09	$2,096.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.44 / $228.49 / $410.84	Professional		$62.44	$228.49	$410.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $188.65 / $304.58 / $893.46	Professional		$188.65	$304.58	$893.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $258.37 / $421.03 / $4,933.00	Facility		$258.37	$421.03	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $233.55 / $346.59 / $505.24	Professional		$233.55	$346.59	$505.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $300.02 / $373.56 / $519.00	Professional		$300.02	$373.56	$519.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $326.11 / $386.89 / $512.39	Professional		$326.11	$386.89	$512.39