Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $107.50 / $436.64 / $4,933.00	Facility		$107.50	$436.64	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $88.72 / $111.98 / $211.86	Professional		$88.72	$111.98	$211.86
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $126.77 / $126.77 / $159.63	Professional		$126.77	$126.77	$159.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $210.98 / $246.27 / $335.49	Facility		$210.98	$246.27	$335.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.47 / $87.43 / $119.68	Professional		$16.47	$87.43	$119.68
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.80 / $130.63 / $211.78	Professional		$83.80	$130.63	$211.78
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $89.56 / $436.64 / $4,933.00	Facility		$89.56	$436.64	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $106.94 / $135.46 / $217.09	Professional		$106.94	$135.46	$217.09
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 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $122.34 / $144.00 / $195.06	Professional		$122.34	$144.00	$195.06