Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $169.28 / $175.55 / $4,933.00	Facility		$169.28	$175.55	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.65 / $169.28 / $175.55	Professional		$117.65	$169.28	$175.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $106.33 / $106.33 / $106.33	Professional		$106.33	$106.33	$106.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $589.15 / $686.68 / $930.34	Facility		$589.15	$686.68	$930.34
BCBS Facility/Professional Professional Modifier Low / Median / High Price $34.18 / $191.00 / $402.11	Professional		$34.18	$191.00	$402.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $97.92 / $152.78 / $233.69	Professional		$97.92	$152.78	$233.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $65.31 / $169.28 / $4,933.00	Facility		$65.31	$169.28	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $65.31 / $77.94 / $177.81	Professional		$65.31	$77.94	$177.81
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.22 / $40.22 / $75.00	Professional		$40.22	$40.22	$75.00
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 $69.40 / $86.90 / $151.38	Professional		$69.40	$86.90	$151.38