Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $105.45 / $163.51 / $543.35	Facility		$105.45	$163.51	$543.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $78.38 / $117.34 / $197.85	Professional		$78.38	$117.34	$197.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $128.01 / $128.01 / $128.01	Professional		$128.01	$128.01	$128.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $195.80 / $229.81 / $311.35	Facility		$195.80	$229.81	$311.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.24 / $127.29 / $198.58	Professional		$21.24	$127.29	$198.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.59 / $118.40 / $204.59	Professional		$74.59	$118.40	$204.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $105.45 / $204.28 / $675.20	Facility		$105.45	$204.28	$675.20
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.50 / $135.07 / $208.23	Professional		$95.50	$135.07	$208.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $60.15 / $86.31 / $126.54	Professional		$60.15	$86.31	$126.54
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $109.52 / $139.85 / $187.97	Professional		$109.52	$139.85	$187.97