Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $763.36 / $828.37 / $3,481.93	Facility		$763.36	$828.37	$3,481.93
Aetna Facility/Professional Professional Modifier Low / Median / High Price $514.95 / $630.33 / $988.24	Professional		$514.95	$630.33	$988.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $425.00 / $1,121.14 / $1,121.14	Professional		$425.00	$1,121.14	$1,121.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,637.13 / $2,218.06	Facility		$1,394.84	$1,637.13	$2,218.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.70 / $843.51 / $1,481.43	Professional		$168.70	$843.51	$1,481.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.04 / $670.50 / $1,224.94	Professional		$466.04	$670.50	$1,224.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $621.97 / $869.78 / $4,933.00	Facility		$621.97	$869.78	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $599.65 / $719.58 / $1,163.96	Professional		$599.65	$719.58	$1,163.96
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $436.67 / $731.61	Professional		$68.50	$436.67	$731.61
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,247.00 / $2,029.00	Facility		$464.00	$1,247.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $611.66 / $728.53 / $992.92	Professional		$611.66	$728.53	$992.92