Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $215.43 / $705.81 / $4,933.00	Facility		$215.43	$705.81	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $164.14 / $215.43 / $560.16	Professional		$164.14	$215.43	$560.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $71.59 / $199.24 / $369.17	Professional		$71.59	$199.24	$369.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $950.25 / $1,404.94 / $1,883.29	Facility		$950.25	$1,404.94	$1,883.29
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.40 / $212.61 / $280.27	Professional		$50.40	$212.61	$280.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $179.69 / $349.72 / $831.90	Professional		$179.69	$349.72	$831.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $197.99 / $1,194.48 / $4,933.00	Facility		$197.99	$1,194.48	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $195.39 / $256.73 / $607.75	Professional		$195.39	$256.73	$607.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $353.19 / $438.19 / $630.99	Professional		$353.19	$438.19	$630.99
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 $237.40 / $481.40 / $693.97	Professional		$237.40	$481.40	$693.97