Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.14 / $1,176.80 / $3,510.74	Facility		$66.14	$1,176.80	$3,510.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $47.43 / $123.84 / $189.56	Professional		$47.43	$123.84	$189.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $40.06 / $96.82 / $105.61	Professional		$40.06	$96.82	$105.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $704.48 / $830.99 / $1,169.15	Facility		$704.48	$830.99	$1,169.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $12.02 / $70.70 / $169.72	Professional		$12.02	$70.70	$169.72
Cigna Facility/Professional Facility Modifier Low / Median / High Price $81.79 / $81.79 / $81.79	Facility		$81.79	$81.79	$81.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.12 / $112.27 / $261.10	Professional		$49.12	$112.27	$261.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.14 / $1,176.80 / $4,933.00	Facility		$66.14	$1,176.80	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.31 / $151.30 / $197.70	Professional		$52.31	$151.30	$197.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.10 / $99.34 / $139.66	Professional		$81.10	$99.34	$139.66
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $132.88 / $196.65 / $259.58	Professional		$132.88	$196.65	$259.58