Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $208.13 / $4,112.00 / $4,933.00	Facility		$208.13	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $140.69 / $202.55 / $295.32	Professional		$140.69	$202.55	$295.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $241.55 / $241.55 / $241.55	Professional		$241.55	$241.55	$241.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.51 / $159.97 / $294.37	Professional		$43.51	$159.97	$294.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $159.11 / $225.78 / $409.70	Professional		$159.11	$225.78	$409.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $198.42 / $4,112.00 / $4,933.00	Facility		$198.42	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $161.69 / $216.57 / $320.24	Professional		$161.69	$216.57	$320.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.59 / $203.56 / $288.42	Professional		$163.59	$203.56	$288.42
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $200.42 / $241.36 / $336.20	Professional		$200.42	$241.36	$336.20