Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.55 / $2,056.00 / $4,933.00	Facility		$82.55	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $59.47 / $110.73 / $174.80	Professional		$59.47	$110.73	$174.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $62.01 / $62.01 / $62.01	Professional		$62.01	$62.01	$62.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $879.85 / $1,196.41 / $2,809.62	Facility		$879.85	$1,196.41	$2,809.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.39 / $102.08 / $206.71	Professional		$19.39	$102.08	$206.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.47 / $123.29 / $250.51	Professional		$72.47	$123.29	$250.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $148.91 / $2,056.00 / $4,933.00	Facility		$148.91	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.55 / $148.91 / $213.57	Professional		$82.55	$148.91	$213.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $136.45 / $195.19	Professional		$108.90	$136.45	$195.19
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $149.71 / $186.41 / $247.66	Professional		$149.71	$186.41	$247.66