Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $140.44 / $464.00 / $4,933.00	Facility		$140.44	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $84.51 / $129.58 / $220.55	Professional		$84.51	$129.58	$220.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $53.67 / $53.67 / $53.67	Professional		$53.67	$53.67	$53.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $118.62 / $139.91 / $188.62	Facility		$118.62	$139.91	$188.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $29.04 / $114.23 / $204.97	Professional		$29.04	$114.23	$204.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $92.81 / $131.01 / $241.12	Professional		$92.81	$131.01	$241.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $105.18 / $400.08 / $4,933.00	Facility		$105.18	$400.08	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $93.15 / $140.12 / $220.55	Professional		$93.15	$140.12	$220.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $88.56 / $119.98 / $173.46	Professional		$88.56	$119.98	$173.46
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $116.45 / $137.75 / $190.03	Professional		$116.45	$137.75	$190.03