Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $94.16 / $258.50	Facility		$68.48	$94.16	$258.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $58.57 / $81.65 / $127.21	Professional		$58.57	$81.65	$127.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.57 / $77.44 / $109.53	Professional		$36.57	$77.44	$109.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $273.26 / $399.09 / $913.84	Facility		$273.26	$399.09	$913.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.89 / $68.04 / $108.11	Professional		$9.89	$68.04	$108.11
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $88.36 / $103.95 / $147.41	Professional	50	$88.36	$103.95	$147.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.52 / $81.59 / $133.99	Professional		$52.52	$81.59	$133.99
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $79.09 / $269.73	Facility		$68.48	$79.09	$269.73
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $68.48 / $84.81 / $129.71	Professional		$68.48	$84.81	$129.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $68.01 / $96.85	Professional		$54.68	$68.01	$96.85
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 $76.93 / $99.87 / $128.94	Professional		$76.93	$99.87	$128.94