Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $130.59 / $154.02 / $4,933.00	Facility		$130.59	$154.02	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.10 / $114.17 / $154.02	Professional		$86.10	$114.17	$154.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.91 / $195.91 / $195.91	Professional		$195.91	$195.91	$195.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.27 / $372.13 / $504.18	Facility		$319.27	$372.13	$504.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $25.56 / $142.87 / $236.88	Professional		$25.56	$142.87	$236.88
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $241.28 / $241.28 / $274.82	Professional	50	$241.28	$241.28	$274.82
Cigna Facility/Professional Professional Modifier Low / Median / High Price $81.37 / $108.59 / $218.69	Professional		$81.37	$108.59	$218.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $115.17 / $148.51 / $4,933.00	Facility		$115.17	$148.51	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.31 / $128.99 / $185.54	Professional		$95.31	$128.99	$185.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $101.38 / $139.66	Professional		$82.37	$101.38	$139.66
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,386.00 / $2,449.00	Facility		$300.00	$1,386.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $114.62 / $133.76 / $191.18	Professional		$114.62	$133.76	$191.18