Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $133.68 / $224.43 / $2,056.00	Facility		$133.68	$224.43	$2,056.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $93.23 / $132.41 / $224.43	Professional		$93.23	$132.41	$224.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $112.36 / $112.36 / $246.85	Professional		$112.36	$112.36	$246.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $257.26 / $300.30 / $409.10	Facility		$257.26	$300.30	$409.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.23 / $134.33 / $294.52	Professional		$29.23	$134.33	$294.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $101.61 / $160.04 / $277.74	Professional		$101.61	$160.04	$277.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $100.00 / $228.46 / $2,299.40	Facility		$100.00	$228.46	$2,299.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $125.50 / $167.97 / $282.77	Professional		$125.50	$167.97	$282.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $117.74 / $154.24 / $228.52	Professional		$117.74	$154.24	$228.52
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 $139.08 / $173.48 / $262.37	Professional		$139.08	$173.48	$262.37