Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $139.32 / $255.75 / $4,933.00	Facility		$139.32	$255.75	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.21 / $146.55 / $210.94	Professional		$108.21	$146.55	$210.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $123.45 / $123.45 / $123.45	Professional		$123.45	$123.45	$123.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.30 / $171.94 / $234.23	Facility		$147.30	$171.94	$234.23
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.12 / $112.40 / $157.79	Professional		$20.12	$112.40	$157.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $77.56 / $156.81 / $223.83	Professional		$77.56	$156.81	$223.83
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $0.67 / $175.54 / $4,933.00	Facility		$0.67	$175.54	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $134.19 / $150.18 / $236.34	Professional		$134.19	$150.18	$236.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $89.03 / $120.26 / $174.43	Professional		$89.03	$120.26	$174.43
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $139.22 / $177.55 / $230.72	Professional		$139.22	$177.55	$230.72