Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $437.51 / $702.35 / $4,933.00	Facility		$437.51	$702.35	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $297.80 / $436.62 / $639.17	Professional		$297.80	$436.62	$639.17
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.02 / $227.02 / $227.02	Professional		$227.02	$227.02	$227.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $513.03 / $602.14 / $815.81	Facility		$513.03	$602.14	$815.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $90.33 / $485.38 / $827.71	Professional		$90.33	$485.38	$827.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $325.02 / $482.98 / $849.51	Professional		$325.02	$482.98	$849.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $445.39 / $2,877.00 / $4,933.00	Facility		$445.39	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $340.93 / $464.13 / $749.01	Professional		$340.93	$464.13	$749.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $294.16 / $516.75	Professional		$68.01	$294.16	$516.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $462.36 / $565.85 / $779.00	Professional		$462.36	$565.85	$779.00