Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $352.93 / $1,193.57 / $5,757.00	Facility		$352.93	$1,193.57	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $276.51 / $502.57 / $753.95	Professional		$276.51	$502.57	$753.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.36 / $288.92 / $504.65	Professional		$271.36	$288.92	$504.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $294.33 / $343.33 / $462.84	Facility		$294.33	$343.33	$462.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $69.08 / $386.03 / $677.98	Professional		$69.08	$386.03	$677.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $264.89 / $548.02 / $739.62	Professional		$264.89	$548.02	$739.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $380.43 / $1,243.85 / $5,757.00	Facility		$380.43	$1,243.85	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $322.33 / $502.57 / $911.73	Professional		$322.33	$502.57	$911.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $224.49 / $322.48	Professional		$30.79	$224.49	$322.48
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 $332.51 / $558.95 / $916.07	Professional		$332.51	$558.95	$916.07