Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $172.17 / $423.48 / $4,933.00	Facility		$172.17	$423.48	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $124.85 / $236.49 / $490.79	Professional		$124.85	$236.49	$490.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.87 / $113.87 / $160.19	Professional		$113.87	$113.87	$160.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $307.26 / $360.64 / $488.61	Facility		$307.26	$360.64	$488.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.29 / $214.63 / $434.63	Professional		$38.29	$214.63	$434.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $136.58 / $252.43 / $508.57	Professional		$136.58	$252.43	$508.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $172.17 / $368.55 / $4,933.00	Facility		$172.17	$368.55	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $178.75 / $300.51 / $549.13	Professional		$178.75	$300.51	$549.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.69 / $261.71 / $405.58	Professional		$30.69	$261.71	$405.58
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 $264.43 / $311.37 / $417.57	Professional		$264.43	$311.37	$417.57