Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $158.49 / $2,056.00 / $4,933.00	Facility		$158.49	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $135.41 / $259.63 / $751.52	Professional		$135.41	$259.63	$751.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $63.20 / $63.20 / $63.20	Professional		$63.20	$63.20	$63.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $864.46 / $1,278.09 / $1,713.26	Facility		$864.46	$1,278.09	$1,713.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.41 / $175.51 / $221.70	Professional		$31.41	$175.51	$221.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $129.06 / $220.98 / $439.05	Professional		$129.06	$220.98	$439.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $161.34 / $2,056.00 / $4,933.00	Facility		$161.34	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $158.49 / $207.90 / $619.65	Professional		$158.49	$207.90	$619.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.55 / $203.09 / $291.99	Professional		$163.55	$203.09	$291.99
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 $207.01 / $256.70 / $363.12	Professional		$207.01	$256.70	$363.12