Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.29 / $980.56 / $4,933.00	Facility		$154.29	$980.56	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $149.44 / $287.89	Professional		$104.59	$149.44	$287.89
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $181.74 / $181.74 / $181.74	Professional		$181.74	$181.74	$181.74
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 $29.63 / $183.00 / $300.66	Professional		$29.63	$183.00	$300.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $104.87 / $168.10 / $316.68	Professional		$104.87	$168.10	$316.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $159.54 / $876.80 / $4,933.00	Facility		$159.54	$876.80	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $124.25 / $175.49 / $289.74	Professional		$124.25	$175.49	$289.74
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 $164.11 / $199.50 / $264.68	Professional		$164.11	$199.50	$264.68