Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.98 / $1,895.35 / $4,933.00	Facility		$126.98	$1,895.35	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $102.20 / $253.23 / $822.08	Professional		$102.20	$253.23	$822.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $90.82 / $101.81 / $186.87	Professional		$90.82	$101.81	$186.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,028.98 / $1,475.17 / $3,537.19	Facility		$1,028.98	$1,475.17	$3,537.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.42 / $141.91 / $179.27	Professional		$27.42	$141.91	$179.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $103.77 / $414.36 / $1,253.89	Professional		$103.77	$414.36	$1,253.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $557.76 / $1,895.35 / $4,933.00	Facility		$557.76	$1,895.35	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $126.98 / $557.76 / $863.18	Professional		$126.98	$557.76	$863.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $511.39 / $639.74 / $925.70	Professional		$511.39	$639.74	$925.70
United Facility/Professional Facility Modifier Low / Median / High Price $859.50 / $3,260.00 / $6,029.00	Facility		$859.50	$3,260.00	$6,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $607.53 / $772.12 / $1,089.90	Professional		$607.53	$772.12	$1,089.90