Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.65 / $324.32 / $4,933.00	Facility		$104.65	$324.32	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.56 / $106.74 / $152.88	Professional		$82.56	$106.74	$152.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $87.20 / $87.20 / $87.20	Professional		$87.20	$87.20	$87.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $165.03 / $192.35 / $260.60	Facility		$165.03	$192.35	$260.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.28 / $98.44 / $170.09	Professional		$22.28	$98.44	$170.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $86.04 / $124.65 / $192.97	Professional		$86.04	$124.65	$192.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $114.55 / $267.48 / $4,933.00	Facility		$114.55	$267.48	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.45 / $123.08 / $167.11	Professional		$100.45	$123.08	$167.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.81 / $136.69 / $195.77	Professional		$109.81	$136.69	$195.77
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,247.00 / $1,844.00	Facility		$464.00	$1,247.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $124.14 / $148.11 / $193.58	Professional		$124.14	$148.11	$193.58