Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $114.56 / $282.00	Facility		$68.31	$114.56	$282.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.78 / $71.95 / $130.15	Professional		$43.78	$71.95	$130.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $73.98 / $73.98 / $73.98	Professional		$73.98	$73.98	$73.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $133.96 / $195.33 / $447.26	Facility		$133.96	$195.33	$447.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.63 / $85.75 / $138.31	Professional		$13.63	$85.75	$138.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.92 / $75.15 / $153.22	Professional		$49.92	$75.15	$153.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $68.31 / $114.56 / $351.96	Facility		$68.31	$114.56	$351.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.10 / $85.92 / $143.10	Professional		$58.10	$85.92	$143.10
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 $79.20 / $96.12 / $133.83	Professional		$79.20	$96.12	$133.83