Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $144.03 / $279.77 / $4,933.00	Facility		$144.03	$279.77	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $99.60 / $166.62 / $279.77	Professional		$99.60	$166.62	$279.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $108.46 / $108.46 / $225.93	Professional		$108.46	$108.46	$225.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $197.34 / $234.31 / $321.83	Facility		$197.34	$234.31	$321.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.13 / $112.42 / $193.57	Professional		$29.13	$112.42	$193.57
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.82 / $201.73 / $408.87	Professional		$115.82	$201.73	$408.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $146.63 / $384.37 / $4,933.00	Facility		$146.63	$384.37	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $125.85 / $190.17 / $335.72	Professional		$125.85	$190.17	$335.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.56 / $187.48 / $275.59	Professional		$144.56	$187.48	$275.59
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 $185.93 / $239.41 / $327.99	Professional		$185.93	$239.41	$327.99