Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $138.83 / $270.06 / $4,353.99	Facility		$138.83	$270.06	$4,353.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.02 / $203.22 / $381.66	Professional		$107.02	$203.22	$381.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.70 / $84.70 / $84.70	Professional		$84.70	$84.70	$84.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $991.12 / $1,465.38 / $2,023.10	Facility		$991.12	$1,465.38	$2,023.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $28.11 / $118.83 / $223.20	Professional		$28.11	$118.83	$223.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $112.68 / $204.76 / $434.94	Professional		$112.68	$204.76	$434.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.85 / $340.27 / $4,933.00	Facility		$0.85	$340.27	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $133.35 / $207.75 / $364.32	Professional		$133.35	$207.75	$364.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $161.25 / $247.53	Professional		$30.56	$161.25	$247.53
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $204.68 / $261.30 / $344.72	Professional		$204.68	$261.30	$344.72