Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $115.91 / $168.42 / $4,933.00	Facility		$115.91	$168.42	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $101.46 / $129.15 / $176.46	Professional		$101.46	$129.15	$176.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.78 / $117.78 / $203.37	Professional		$117.78	$117.78	$203.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,974.50 / $2,301.35 / $3,117.97	Facility		$1,974.50	$2,301.35	$3,117.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.43 / $131.97 / $207.85	Professional		$22.43	$131.97	$207.85
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $211.71 / $211.71 / $285.20	Professional	50	$211.71	$211.71	$285.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.68 / $123.70 / $210.38	Professional		$83.68	$123.70	$210.38
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $126.21 / $2,056.00 / $4,933.00	Facility		$126.21	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $112.13 / $148.83 / $192.50	Professional		$112.13	$148.83	$192.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $109.97 / $135.77 / $184.01	Professional		$109.97	$135.77	$184.01
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 $133.91 / $155.62 / $205.83	Professional		$133.91	$155.62	$205.83