Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $131.52 / $416.15 / $4,933.00	Facility		$131.52	$416.15	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $92.39 / $126.65 / $226.39	Professional		$92.39	$126.65	$226.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $141.12 / $141.12	Professional		$141.12	$141.12	$141.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $226.55 / $330.87 / $757.63	Facility		$226.55	$330.87	$757.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $142.87 / $236.88	Professional		$25.56	$142.87	$236.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.71 / $138.44 / $245.40	Professional		$95.71	$138.44	$245.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $137.06 / $416.15 / $4,933.00	Facility		$137.06	$416.15	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $105.41 / $141.12 / $228.99	Professional		$105.41	$141.12	$228.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.71 / $135.73 / $192.57	Professional		$108.71	$135.73	$192.57
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 $136.86 / $160.31 / $220.11	Professional		$136.86	$160.31	$220.11