Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.00 / $2,877.00 / $5,886.88	Facility		$171.00	$2,877.00	$5,886.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $121.84 / $207.09 / $327.52	Professional		$121.84	$207.09	$327.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $138.36 / $138.36 / $138.36	Professional		$138.36	$138.36	$138.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $242.46 / $358.48 / $494.92	Facility		$242.46	$358.48	$494.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.35 / $127.29 / $226.54	Professional		$36.35	$127.29	$226.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.68 / $252.81 / $513.23	Professional		$138.68	$252.81	$513.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $174.07 / $2,877.00 / $4,933.00	Facility		$174.07	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $150.97 / $250.43 / $395.65	Professional		$150.97	$250.43	$395.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $222.17 / $335.97	Professional		$30.56	$222.17	$335.97
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 $249.05 / $320.04 / $418.77	Professional		$249.05	$320.04	$418.77