Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $209.74 / $4,933.00 / $4,933.00	Facility		$209.74	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.15 / $209.74 / $217.51	Professional		$146.15	$209.74	$217.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $151.96 / $151.96 / $151.96	Professional		$151.96	$151.96	$151.96
BCBS Facility/Professional Facility Modifier Low / Median / High Price $735.88 / $857.70 / $1,162.05	Facility		$735.88	$857.70	$1,162.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.04 / $223.77 / $317.99	Professional		$40.04	$223.77	$317.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $142.96 / $240.87 / $286.29	Professional		$142.96	$240.87	$286.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $171.12 / $4,933.00 / $4,933.00	Facility		$171.12	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $171.12 / $172.11 / $224.38	Professional		$171.12	$172.11	$224.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $138.70 / $174.72 / $254.37	Professional		$138.70	$174.72	$254.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $193.26 / $234.52 / $301.93	Professional		$193.26	$234.52	$301.93