Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.85 / $217.54 / $4,933.00	Facility		$140.85	$217.54	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $112.83 / $169.01 / $219.88	Professional		$112.83	$169.01	$219.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $185.78 / $185.78 / $185.78	Professional		$185.78	$185.78	$185.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $185.45 / $216.15 / $292.83	Facility		$185.45	$216.15	$292.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.21 / $121.70 / $179.66	Professional		$23.21	$121.70	$179.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.60 / $168.27 / $513.63	Professional		$105.60	$168.27	$513.63
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $177.47 / $274.10 / $4,933.00	Facility		$177.47	$274.10	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $140.84 / $186.21 / $260.08	Professional		$140.84	$186.21	$260.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.42 / $170.59 / $241.73	Professional		$123.42	$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 $170.09 / $205.41 / $285.95	Professional		$170.09	$205.41	$285.95