Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $85.40 / $2,056.00 / $3,399.11	Facility		$85.40	$2,056.00	$3,399.11
Aetna Facility/Professional Professional Modifier Low / Median / High Price $67.80 / $138.63 / $191.52	Professional		$67.80	$138.63	$191.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $76.34 / $76.34 / $79.28	Professional		$76.34	$76.34	$79.28
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 $18.22 / $93.71 / $170.09	Professional		$18.22	$93.71	$170.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $76.06 / $138.97 / $281.80	Professional		$76.06	$138.97	$281.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.67 / $2,056.00 / $4,933.00	Facility		$89.67	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.40 / $161.38 / $256.39	Professional		$85.40	$161.38	$256.39
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 $175.32 / $199.35 / $266.70	Professional		$175.32	$199.35	$266.70