Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $229.71 / $379.33 / $4,961.08	Facility		$229.71	$379.33	$4,961.08
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.21 / $377.80 / $606.76	Professional		$221.21	$377.80	$606.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $176.96 / $176.96 / $252.37	Professional		$176.96	$176.96	$252.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,278.12 / $3,847.54 / $5,212.81	Facility		$3,278.12	$3,847.54	$5,212.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.22 / $194.21 / $427.27	Professional		$46.22	$194.21	$427.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $174.03 / $442.75 / $704.49	Professional		$174.03	$442.75	$704.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $229.71 / $548.41 / $4,961.08	Facility		$229.71	$548.41	$4,961.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $229.72 / $466.42 / $759.71	Professional		$229.72	$466.42	$759.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $218.27 / $271.92 / $385.28	Professional		$218.27	$271.92	$385.28
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 $465.64 / $645.34 / $751.26	Professional		$465.64	$645.34	$751.26