Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $136.05 / $749.74 / $4,933.00	Facility		$136.05	$749.74	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $95.75 / $141.28 / $263.39	Professional		$95.75	$141.28	$263.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $113.16 / $152.77 / $205.15	Professional		$113.16	$152.77	$205.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $930.59 / $1,092.24 / $1,479.81	Facility		$930.59	$1,092.24	$1,479.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.35 / $172.03 / $265.41	Professional		$27.35	$172.03	$265.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $96.96 / $147.57 / $275.39	Professional		$96.96	$147.57	$275.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $140.13 / $777.77 / $2,878.00	Facility		$140.13	$777.77	$2,878.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.37 / $161.13 / $273.69	Professional		$124.37	$161.13	$273.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.48 / $170.21 / $241.06	Professional		$136.48	$170.21	$241.06
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 $141.62 / $173.88 / $230.52	Professional		$141.62	$173.88	$230.52