Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $129.62 / $279.58 / $4,933.00	Facility		$129.62	$279.58	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.90 / $133.80 / $208.58	Professional		$101.90	$133.80	$208.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.01 / $90.01 / $90.01	Professional		$90.01	$90.01	$90.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $262.63 / $306.11 / $414.72	Facility		$262.63	$306.11	$414.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.27 / $140.33 / $207.91	Professional		$28.27	$140.33	$207.91
Cigna Facility/Professional Professional Modifier Low / Median / High Price $111.34 / $154.90 / $456.08	Professional		$111.34	$154.90	$456.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $131.90 / $279.58 / $4,933.00	Facility		$131.90	$279.58	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $122.53 / $148.03 / $205.03	Professional		$122.53	$148.03	$205.03
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 $143.04 / $169.77 / $222.88	Professional		$143.04	$169.77	$222.88