Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $101.38 / $977.89 / $3,799.20	Facility		$101.38	$977.89	$3,799.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.58 / $148.72 / $254.52	Professional		$65.58	$148.72	$254.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.50 / $73.23 / $80.93	Professional		$67.50	$73.23	$80.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $380.85 / $520.99 / $1,252.32	Facility		$380.85	$520.99	$1,252.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.29 / $107.56 / $217.81	Professional		$18.29	$107.56	$217.81
Cigna Facility/Professional Facility Modifier Low / Median / High Price $123.68 / $123.68 / $123.68	Facility		$123.68	$123.68	$123.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $74.94 / $178.05 / $413.66	Professional		$74.94	$178.05	$413.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $121.66 / $977.89 / $4,080.72	Facility		$121.66	$977.89	$4,080.72
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.63 / $161.91 / $309.14	Professional		$77.63	$161.91	$309.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.31 / $164.93 / $232.83	Professional		$133.31	$164.93	$232.83
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $205.51 / $364.72	Professional		$184.74	$205.51	$364.72