Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $545.54 / $636.19 / $4,933.00	Facility		$545.54	$636.19	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $343.67 / $472.22 / $636.19	Professional		$343.67	$472.22	$636.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $465.39 / $465.39 / $813.43	Professional		$465.39	$465.39	$813.43
BCBS Facility/Professional Facility Modifier Low / Median / High Price $435.89 / $508.05 / $688.32	Facility		$435.89	$508.05	$688.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $101.74 / $598.45 / $944.92	Professional		$101.74	$598.45	$944.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.80 / $436.59 / $764.97	Professional		$333.80	$436.59	$764.97
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $465.46 / $2,056.00 / $4,933.00	Facility		$465.46	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $432.63 / $530.23 / $636.19	Professional		$432.63	$530.23	$636.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $317.22 / $483.58	Professional		$67.94	$317.22	$483.58
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $2,800.00 / $4,594.00	Facility		$645.00	$2,800.00	$4,594.00
United Facility/Professional Professional Modifier Low / Median / High Price $463.84 / $547.54 / $759.21	Professional		$463.84	$547.54	$759.21