Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $301.62 / $341.22 / $4,933.00	Facility		$301.62	$341.22	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $203.06 / $259.02 / $382.13	Professional		$203.06	$259.02	$382.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.31 / $269.31 / $269.31	Professional		$269.31	$269.31	$269.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $184.08 / $216.06 / $292.73	Facility		$184.08	$216.06	$292.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $71.12 / $355.56 / $586.66	Professional		$71.12	$355.56	$586.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $192.40 / $284.25 / $492.50	Professional		$192.40	$284.25	$492.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $257.30 / $341.22 / $4,933.00	Facility		$257.30	$341.22	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $225.12 / $288.17 / $426.17	Professional		$225.12	$288.17	$426.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $187.65 / $302.64	Professional		$65.16	$187.65	$302.64
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 $257.86 / $303.92 / $413.90	Professional		$257.86	$303.92	$413.90