Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $63.57 / $778.52 / $2,056.00	Facility		$63.57	$778.52	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $37.28 / $86.83 / $122.99	Professional		$37.28	$86.83	$122.99
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.27 / $96.11 / $96.11	Professional		$82.27	$96.11	$96.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.27 / $1,274.50 / $2,992.98	Facility		$937.27	$1,274.50	$2,992.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.16 / $67.64 / $128.07	Professional		$13.16	$67.64	$128.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $87.63 / $168.48	Professional		$45.32	$87.63	$168.48
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $108.48 / $795.96 / $2,277.03	Facility		$108.48	$795.96	$2,277.03
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.46 / $108.48 / $154.62	Professional		$50.46	$108.48	$154.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $102.47 / $146.41	Professional		$81.79	$102.47	$146.41
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.67 / $134.80 / $178.74	Professional		$115.67	$134.80	$178.74