Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $231.89 / $362.29 / $4,933.00	Facility		$231.89	$362.29	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.87 / $263.32 / $387.05	Professional		$179.87	$263.32	$387.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $100.76 / $100.76 / $100.76	Professional		$100.76	$100.76	$100.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,211.58 / $2,577.67 / $3,492.34	Facility		$2,211.58	$2,577.67	$3,492.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.01 / $288.33 / $389.26	Professional		$49.01	$288.33	$389.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $170.96 / $275.68 / $775.48	Professional		$170.96	$275.68	$775.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $300.67 / $1,780.34 / $4,933.00	Facility		$300.67	$1,780.34	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $231.88 / $300.67 / $451.64	Professional		$231.88	$300.67	$451.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.92 / $338.99 / $472.94	Professional		$272.92	$338.99	$472.94
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $290.05 / $349.34 / $484.37	Professional		$290.05	$349.34	$484.37