Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $106.10 / $368.82 / $4,933.00	Facility		$106.10	$368.82	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.95 / $172.87 / $292.72	Professional		$71.95	$172.87	$292.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $367.54 / $367.54 / $367.54	Professional		$367.54	$367.54	$367.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,032.32 / $1,211.64 / $1,641.58	Facility		$1,032.32	$1,211.64	$1,641.58
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $594.52 / $856.36 / $1,113.04	Facility	50	$594.52	$856.36	$1,113.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $21.59 / $91.26 / $211.87	Professional		$21.59	$91.26	$211.87
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $203.72 / $203.72 / $540.05	Professional	50	$203.72	$203.72	$540.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $75.33 / $165.16 / $333.10	Professional		$75.33	$165.16	$333.10
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $110.18 / $1,505.60 / $4,933.00	Facility		$110.18	$1,505.60	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $96.15 / $200.65 / $338.25	Professional		$96.15	$200.65	$338.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.82 / $202.90 / $290.75	Professional		$162.82	$202.90	$290.75
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $190.62 / $228.42 / $322.49	Professional		$190.62	$228.42	$322.49