Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $212.01 / $605.59 / $4,933.00	Facility		$212.01	$605.59	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $171.03 / $224.63 / $288.66	Professional		$171.03	$224.63	$288.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $191.00 / $233.35 / $241.02	Professional		$191.00	$233.35	$241.02
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,045.60 / $1,220.54 / $1,662.71	Facility		$1,045.60	$1,220.54	$1,662.71
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.26 / $166.99 / $292.64	Professional		$43.26	$166.99	$292.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.36 / $237.05 / $406.60	Professional		$161.36	$237.05	$406.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $218.95 / $605.59 / $4,933.00	Facility		$218.95	$605.59	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $212.01 / $249.70 / $363.71	Professional		$212.01	$249.70	$363.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $188.13 / $278.36	Professional		$148.69	$188.13	$278.36
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $243.66 / $290.44 / $371.30	Professional		$243.66	$290.44	$371.30