Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.26 / $712.00 / $4,933.00	Facility		$458.26	$712.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $315.55 / $458.26 / $651.29	Professional		$315.55	$458.26	$651.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $294.17 / $294.17 / $294.17	Professional		$294.17	$294.17	$294.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $700.54 / $816.51 / $1,106.24	Facility		$700.54	$816.51	$1,106.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.88 / $358.97 / $745.55	Professional		$93.88	$358.97	$745.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $357.14 / $502.75 / $1,539.45	Professional		$357.14	$502.75	$1,539.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $500.24 / $1,227.39 / $4,933.00	Facility		$500.24	$1,227.39	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $458.26 / $500.24 / $800.32	Professional		$458.26	$500.24	$800.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $450.48 / $656.29	Professional		$30.79	$450.48	$656.29
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $472.27 / $620.37 / $792.38	Professional		$472.27	$620.37	$792.38