Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $84.83 / $1,106.34 / $4,933.00	Facility		$84.83	$1,106.34	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.07 / $182.76 / $753.44	Professional		$63.07	$182.76	$753.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $66.41 / $66.41 / $66.41	Professional		$66.41	$66.41	$66.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,016.72 / $1,503.22 / $2,075.35	Facility		$1,016.72	$1,503.22	$2,075.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.42 / $62.80 / $107.45	Professional		$16.42	$62.80	$107.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $69.80 / $262.48 / $1,108.40	Professional		$69.80	$262.48	$1,108.40
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $106.88 / $1,106.34 / $4,933.00	Facility		$106.88	$1,106.34	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $74.50 / $675.30 / $939.77	Professional		$74.50	$675.30	$939.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $429.60 / $537.27 / $777.25	Professional		$429.60	$537.27	$777.25
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 $671.87 / $850.04 / $1,166.40	Professional		$671.87	$850.04	$1,166.40