Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.51 / $2,056.00 / $4,933.00	Facility		$169.51	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.15 / $133.85 / $177.16	Professional		$107.15	$133.85	$177.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $183.92 / $183.92 / $183.92	Professional		$183.92	$183.92	$183.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $340.67 / $399.85 / $541.73	Facility		$340.67	$399.85	$541.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.11 / $182.44 / $230.79	Professional		$34.11	$182.44	$230.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.73 / $142.94 / $282.61	Professional		$97.73	$142.94	$282.61
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $116.29 / $2,056.00 / $4,933.00	Facility		$116.29	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $116.29 / $133.72 / $190.73	Professional		$116.29	$133.72	$190.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.37 / $136.03 / $193.70	Professional		$109.37	$136.03	$193.70
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 $122.62 / $151.79 / $195.85	Professional		$122.62	$151.79	$195.85