Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $80.70 / $125.85 / $4,933.00	Facility		$80.70	$125.85	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $63.74 / $87.79 / $132.15	Professional		$63.74	$87.79	$132.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $68.23 / $68.23 / $135.55	Professional		$68.23	$68.23	$135.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,015.99 / $1,185.96 / $1,615.61	Facility		$1,015.99	$1,185.96	$1,615.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.68 / $63.77 / $117.72	Professional		$16.68	$63.77	$117.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $67.03 / $96.58 / $159.11	Professional		$67.03	$96.58	$159.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $82.16 / $128.12 / $4,933.00	Facility		$82.16	$128.12	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $77.48 / $101.69 / $159.49	Professional		$77.48	$101.69	$159.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $102.47 / $146.41	Professional		$81.79	$102.47	$146.41
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $99.17 / $118.50 / $159.38	Professional		$99.17	$118.50	$159.38