Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.06 / $1,780.64 / $2,899.19	Facility		$122.06	$1,780.64	$2,899.19
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $206.27 / $291.26	Professional		$90.40	$206.27	$291.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $83.85 / $83.85 / $83.85	Professional		$83.85	$83.85	$83.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $926.00 / $1,080.92 / $1,472.50	Facility		$926.00	$1,080.92	$1,472.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.55 / $144.41 / $281.61	Professional		$24.55	$144.41	$281.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.03 / $205.39 / $418.64	Professional		$106.03	$205.39	$418.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $146.47 / $1,916.01 / $2,890.27	Facility		$146.47	$1,916.01	$2,890.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.25 / $236.74 / $349.52	Professional		$116.25	$236.74	$349.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $238.43 / $341.35	Professional		$190.70	$238.43	$341.35
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 $261.64 / $301.85 / $410.17	Professional		$261.64	$301.85	$410.17