Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $121.73 / $1,958.00 / $4,933.00	Facility		$121.73	$1,958.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.09 / $144.84 / $303.49	Professional		$67.09	$144.84	$303.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $58.93 / $58.93 / $58.93	Professional		$58.93	$58.93	$58.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,523.18 / $1,787.76 / $2,422.14	Facility		$1,523.18	$1,787.76	$2,422.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.39 / $135.41 / $261.17	Professional		$24.39	$135.41	$261.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $173.08 / $346.93	Professional		$76.19	$173.08	$346.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $146.08 / $2,050.05 / $4,933.00	Facility		$146.08	$2,050.05	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.77 / $187.60 / $325.64	Professional		$95.77	$187.60	$325.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $236.99 / $335.79	Professional		$190.70	$236.99	$335.79
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $189.85 / $228.66 / $334.29	Professional		$189.85	$228.66	$334.29