Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $142.04 / $222.43 / $4,933.00	Facility		$142.04	$222.43	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $118.43 / $178.59 / $266.91	Professional		$118.43	$178.59	$266.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $161.00 / $161.00 / $161.00	Professional		$161.00	$161.00	$161.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $186.23 / $217.23 / $305.63	Facility		$186.23	$217.23	$305.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.99 / $96.90 / $181.14	Professional		$28.99	$96.90	$181.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.51 / $169.76 / $517.95	Professional		$106.51	$169.76	$517.95
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $178.97 / $280.26 / $4,933.00	Facility		$178.97	$280.26	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $142.03 / $190.80 / $266.91	Professional		$142.03	$190.80	$266.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.54 / $170.59 / $241.73	Professional		$123.54	$170.59	$241.73
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 $169.28 / $210.44 / $271.79	Professional		$169.28	$210.44	$271.79