Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.72 / $2,788.49 / $6,728.89	Facility		$140.72	$2,788.49	$6,728.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $98.20 / $135.10 / $212.19	Professional		$98.20	$135.10	$212.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $152.10 / $152.10 / $152.10	Professional		$152.10	$152.10	$152.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $107.78 / $126.26 / $170.20	Facility		$107.78	$126.26	$170.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $20.95 / $85.66 / $164.46	Professional		$20.95	$85.66	$164.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $105.22 / $149.65 / $250.84	Professional		$105.22	$149.65	$250.84
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $135.10 / $2,056.00 / $4,933.00	Facility		$135.10	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.60 / $147.76 / $280.22	Professional		$112.60	$147.76	$280.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.90 / $136.45 / $195.19	Professional		$108.90	$136.45	$195.19
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $5,202.00 / $7,355.00	Facility		$2,248.00	$5,202.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $126.51 / $161.07 / $253.16	Professional		$126.51	$161.07	$253.16