Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $112.93 / $464.00 / $4,933.00	Facility		$112.93	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $202.68 / $577.36	Professional		$86.04	$202.68	$577.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $81.19 / $115.99 / $120.45	Professional		$81.19	$115.99	$120.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $586.26 / $684.35 / $932.27	Facility		$586.26	$684.35	$932.27
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $316.33 / $431.65 / $607.01	Facility	50	$316.33	$431.65	$607.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.97 / $139.01 / $263.20	Professional		$22.97	$139.01	$263.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $88.35 / $184.43 / $769.30	Professional		$88.35	$184.43	$769.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $290.72 / $2,056.00 / $4,933.00	Facility		$290.72	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.93 / $301.89 / $548.99	Professional		$112.93	$301.89	$548.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $238.43 / $341.35	Professional		$190.70	$238.43	$341.35
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $227.88 / $365.52 / $909.26	Professional		$227.88	$365.52	$909.26