Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $155.15 / $397.67 / $3,045.50	Facility		$155.15	$397.67	$3,045.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $97.53 / $148.94 / $226.13	Professional		$97.53	$148.94	$226.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $130.00 / $143.65 / $190.98	Professional		$130.00	$143.65	$190.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.66 / $492.21 / $670.52	Facility		$421.66	$492.21	$670.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $125.82 / $233.28	Professional		$34.22	$125.82	$233.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $113.12 / $155.69 / $244.18	Professional		$113.12	$155.69	$244.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $112.37 / $479.86 / $4,933.00	Facility		$112.37	$479.86	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $113.56 / $161.82 / $249.74	Professional		$113.56	$161.82	$249.74
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 $122.90 / $154.56 / $236.48	Professional		$122.90	$154.56	$236.48