Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $271.95 / $1,370.00 / $4,933.00	Facility		$271.95	$1,370.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $186.28 / $238.71 / $386.46	Professional		$186.28	$238.71	$386.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $221.07 / $221.07 / $285.33	Professional		$221.07	$221.07	$285.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.96 / $247.61 / $335.47	Facility		$210.96	$247.61	$335.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $54.10 / $228.71 / $365.94	Professional		$54.10	$228.71	$365.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.84 / $268.76 / $458.70	Professional		$169.84	$268.76	$458.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.64 / $1,370.00 / $4,933.00	Facility		$229.64	$1,370.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $199.43 / $266.72 / $415.47	Professional		$199.43	$266.72	$415.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $62.04 / $170.21 / $277.49	Professional		$62.04	$170.21	$277.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,048.00 / $7,355.00	Facility		$1,450.00	$5,048.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $235.98 / $278.14 / $377.83	Professional		$235.98	$278.14	$377.83