Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $178.49 / $2,877.00 / $6,226.80	Facility		$178.49	$2,877.00	$6,226.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $129.61 / $185.36 / $293.30	Professional		$129.61	$185.36	$293.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.38 / $192.05 / $439.44	Professional		$134.38	$192.05	$439.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,187.30 / $4,914.66 / $6,658.58	Facility		$4,187.30	$4,914.66	$6,658.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.56 / $198.69 / $360.79	Professional		$35.56	$198.69	$360.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.15 / $203.59 / $333.10	Professional		$104.15	$203.59	$333.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $185.36 / $2,877.00 / $6,226.80	Facility		$185.36	$2,877.00	$6,226.80
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $138.21 / $226.46 / $298.12	Professional		$138.21	$226.46	$298.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.84 / $137.27 / $195.83	Professional		$109.84	$137.27	$195.83
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $154.75 / $254.07 / $303.49	Professional		$154.75	$254.07	$303.49