Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $111.56 / $1,766.93 / $4,933.00	Facility		$111.56	$1,766.93	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.59 / $124.77 / $317.83	Professional		$81.59	$124.77	$317.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.05 / $212.05 / $212.05	Professional		$212.05	$212.05	$212.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $547.73 / $809.83 / $1,118.04	Facility		$547.73	$809.83	$1,118.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.73 / $88.06 / $150.04	Professional		$23.73	$88.06	$150.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.27 / $163.96 / $388.56	Professional		$92.27	$163.96	$388.56
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $137.69 / $1,766.93 / $4,933.00	Facility		$137.69	$1,766.93	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $94.18 / $144.36 / $317.83	Professional		$94.18	$144.36	$317.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.38 / $236.97 / $340.87	Professional		$189.38	$236.97	$340.87
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 $123.71 / $172.54 / $335.66	Professional		$123.71	$172.54	$335.66