Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $119.20 / $1,221.57 / $2,801.34	Facility		$119.20	$1,221.57	$2,801.34
Aetna Facility/Professional Professional Modifier Low / Median / High Price $80.63 / $122.56 / $180.03	Professional		$80.63	$122.56	$180.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.96 / $111.96 / $111.96	Professional		$111.96	$111.96	$111.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $888.02 / $1,212.99 / $2,795.11	Facility		$888.02	$1,212.99	$2,795.11
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.42 / $81.90 / $170.09	Professional		$21.42	$81.90	$170.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.77 / $138.78 / $216.15	Professional		$83.77	$138.78	$216.15
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $139.09 / $1,221.57 / $2,988.23	Facility		$139.09	$1,221.57	$2,988.23
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.95 / $139.09 / $207.45	Professional		$114.95	$139.09	$207.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $111.46 / $136.88 / $196.66	Professional		$111.46	$136.88	$196.66
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,594.00	Facility		$773.00	$3,005.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $140.87 / $180.00 / $251.73	Professional		$140.87	$180.00	$251.73