Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $346.48 / $1,232.01 / $4,933.00	Facility		$346.48	$1,232.01	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $69.09 / $159.76 / $346.48	Professional		$69.09	$159.76	$346.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $36.21 / $36.21 / $78.34	Professional		$36.21	$36.21	$78.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.48 / $356.78 / $490.03	Facility		$300.48	$356.78	$490.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.27 / $95.80 / $126.29	Professional		$20.27	$95.80	$126.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $68.26 / $178.53 / $485.47	Professional		$68.26	$178.53	$485.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $221.81 / $1,232.01 / $4,933.00	Facility		$221.81	$1,232.01	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $75.98 / $221.81 / $382.39	Professional		$75.98	$221.81	$382.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $215.91 / $269.70 / $389.04	Professional		$215.91	$269.70	$389.04
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 $227.02 / $294.95 / $423.97	Professional		$227.02	$294.95	$423.97