Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $450.97 / $4,933.00	Facility		$204.61	$450.97	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.49 / $335.06 / $654.85	Professional		$171.49	$335.06	$654.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $465.79 / $467.56 / $467.56	Professional		$465.79	$467.56	$467.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,024.03 / $1,193.54 / $1,617.05	Facility		$1,024.03	$1,193.54	$1,617.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $45.86 / $259.44 / $555.21	Professional		$45.86	$259.44	$555.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $151.94 / $339.78 / $753.23	Professional		$151.94	$339.78	$753.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $204.61 / $450.97 / $4,933.00	Facility		$204.61	$450.97	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $204.61 / $364.02 / $594.51	Professional		$204.61	$364.02	$594.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.60 / $370.30 / $515.72	Professional		$299.60	$370.30	$515.72
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 $350.79 / $408.00 / $562.41	Professional		$350.79	$408.00	$562.41