Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $185.72 / $1,520.28 / $4,933.00	Facility		$185.72	$1,520.28	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $94.43 / $156.78 / $276.39	Professional		$94.43	$156.78	$276.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $172.60 / $206.33 / $206.33	Professional		$172.60	$206.33	$206.33
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 $40.40 / $158.90 / $274.27	Professional		$40.40	$158.90	$274.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $131.88 / $213.66 / $416.85	Professional		$131.88	$213.66	$416.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $188.71 / $1,242.89 / $4,933.00	Facility		$188.71	$1,242.89	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $136.12 / $188.71 / $300.04	Professional		$136.12	$188.71	$300.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.16 / $236.40 / $331.97	Professional		$191.16	$236.40	$331.97
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 $188.05 / $240.90 / $344.03	Professional		$188.05	$240.90	$344.03