Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.29 / $436.63 / $776.62	Facility		$113.29	$436.63	$776.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $62.56 / $97.43 / $235.60	Professional		$62.56	$97.43	$235.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.85 / $100.59 / $135.47	Professional		$92.85	$100.59	$135.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $193.30 / $276.47 / $629.79	Facility		$193.30	$276.47	$629.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.51 / $87.36 / $132.32	Professional		$15.51	$87.36	$132.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.91 / $96.61 / $174.74	Professional		$65.91	$96.61	$174.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $113.29 / $453.49 / $776.62	Facility		$113.29	$453.49	$776.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $83.14 / $109.75 / $195.12	Professional		$83.14	$109.75	$195.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.78 / $144.21	Professional		$81.79	$101.78	$144.21
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 $94.55 / $112.10 / $162.63	Professional		$94.55	$112.10	$162.63