Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $436.13 / $581.51 / $4,933.00	Facility		$436.13	$581.51	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $295.18 / $405.06 / $581.51	Professional		$295.18	$405.06	$581.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.88 / $167.88 / $167.88	Professional		$167.88	$167.88	$167.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $411.83 / $480.39 / $647.60	Facility		$411.83	$480.39	$647.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.69 / $483.01 / $800.78	Professional		$101.69	$483.01	$800.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $244.09 / $354.64 / $611.91	Professional		$244.09	$354.64	$611.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $388.84 / $2,056.00 / $4,933.00	Facility		$388.84	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $330.51 / $436.13 / $581.51	Professional		$330.51	$436.13	$581.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.76 / $284.56 / $445.21	Professional		$33.76	$284.56	$445.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $388.04 / $464.87 / $652.41	Professional		$388.04	$464.87	$652.41