Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $824.33 / $5,200.47	Facility		$165.83	$824.33	$5,200.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.36 / $558.66 / $824.33	Professional		$131.36	$558.66	$824.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.00 / $189.00 / $189.00	Professional		$189.00	$189.00	$189.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,137.48 / $3,110.76 / $4,824.35	Facility		$2,137.48	$3,110.76	$4,824.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.85 / $41.34 / $214.92	Professional		$32.85	$41.34	$214.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.01 / $449.35 / $1,272.32	Professional		$140.01	$449.35	$1,272.32
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $165.83 / $2,877.00 / $5,200.47	Facility		$165.83	$2,877.00	$5,200.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $155.84 / $780.31 / $998.50	Professional		$155.84	$780.31	$998.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $488.46 / $608.43 / $874.31	Professional		$488.46	$608.43	$874.31
United Facility/Professional Facility Modifier Low / Median / High Price $2,572.52 / $7,500.00 / $9,340.21	Facility		$2,572.52	$7,500.00	$9,340.21
United Facility/Professional Professional Modifier Low / Median / High Price $715.08 / $1,016.35 / $1,366.43	Professional		$715.08	$1,016.35	$1,366.43