Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.40 / $193.49 / $4,933.00	Facility		$82.40	$193.49	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.21 / $133.41 / $184.28	Professional		$57.21	$133.41	$184.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $57.18 / $57.18 / $57.18	Professional		$57.18	$57.18	$57.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,165.73 / $2,528.05 / $3,443.90	Facility		$2,165.73	$2,528.05	$3,443.90
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.02 / $104.09 / $157.65	Professional		$19.02	$104.09	$157.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.11 / $133.60 / $275.88	Professional		$66.11	$133.60	$275.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $103.82 / $1,958.00 / $4,933.00	Facility		$103.82	$1,958.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $82.40 / $156.26 / $246.70	Professional		$82.40	$156.26	$246.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $136.45 / $195.19	Professional		$108.90	$136.45	$195.19
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 $168.86 / $199.54 / $314.24	Professional		$168.86	$199.54	$314.24