Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $147.76 / $249.70 / $4,933.00	Facility		$147.76	$249.70	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.65 / $151.91 / $249.70	Professional		$113.65	$151.91	$249.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $102.14 / $102.14 / $102.14	Professional		$102.14	$102.14	$102.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $590.46 / $688.20 / $932.41	Facility		$590.46	$688.20	$932.41
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.36 / $113.60 / $236.29	Professional		$34.36	$113.60	$236.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.80 / $166.98 / $311.77	Professional		$92.80	$166.98	$311.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $150.41 / $249.70 / $4,933.00	Facility		$150.41	$249.70	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $147.76 / $208.76 / $320.91	Professional		$147.76	$208.76	$320.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $145.99 / $187.72 / $275.41	Professional		$145.99	$187.72	$275.41
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 $218.19 / $271.68 / $344.14	Professional		$218.19	$271.68	$344.14