Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $268.08 / $4,933.00 / $4,933.00	Facility		$268.08	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $196.28 / $240.98 / $282.08	Professional		$196.28	$240.98	$282.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.54 / $200.54 / $200.54	Professional		$200.54	$200.54	$200.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $793.42 / $1,173.07 / $1,572.46	Facility		$793.42	$1,173.07	$1,572.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.33 / $218.10 / $348.96	Professional		$53.33	$218.10	$348.96
Cigna Facility/Professional Professional Modifier Low / Median / High Price $205.05 / $265.72 / $538.82	Professional		$205.05	$265.72	$538.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $231.21 / $4,933.00 / $4,933.00	Facility		$231.21	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $207.35 / $234.28 / $338.93	Professional		$207.35	$234.28	$338.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.30 / $204.49 / $294.46	Professional		$164.30	$204.49	$294.46
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $221.23 / $282.77 / $365.21	Professional		$221.23	$282.77	$365.21