Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $173.40 / $620.00 / $2,877.00	Facility		$173.40	$620.00	$2,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.24 / $220.37 / $392.18	Professional		$121.24	$220.37	$392.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.05 / $134.05 / $180.97	Professional		$134.05	$134.05	$180.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $937.27 / $1,100.08 / $1,490.44	Facility		$937.27	$1,100.08	$1,490.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.03 / $181.99 / $324.31	Professional		$34.03	$181.99	$324.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $134.94 / $227.66 / $401.92	Professional		$134.94	$227.66	$401.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $173.40 / $1,109.13 / $4,933.00	Facility		$173.40	$1,109.13	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $143.27 / $248.19 / $399.34	Professional		$143.27	$248.19	$399.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $174.81 / $221.17 / $324.90	Professional		$174.81	$221.17	$324.90
United Facility/Professional Facility Modifier Low / Median / High Price $649.00 / $2,580.00 / $4,504.00	Facility		$649.00	$2,580.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $238.04 / $288.61 / $414.46	Professional		$238.04	$288.61	$414.46