Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $88.59 / $224.43 / $376.27	Facility		$88.59	$224.43	$376.27
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.09 / $92.69 / $168.91	Professional		$61.09	$92.69	$168.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $92.56 / $92.56 / $139.16	Professional		$92.56	$92.56	$139.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $166.20 / $237.32 / $540.63	Facility		$166.20	$237.32	$540.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.02 / $73.84 / $131.68	Professional		$14.02	$73.84	$131.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $95.55 / $174.18	Professional		$65.59	$95.55	$174.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $92.82 / $342.58 / $376.27	Facility		$92.82	$342.58	$376.27
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $79.09 / $102.37 / $158.81	Professional		$79.09	$102.37	$158.81
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 $92.91 / $110.21 / $153.43	Professional		$92.91	$110.21	$153.43