Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $277.20 / $1,039.66 / $4,933.00	Facility		$277.20	$1,039.66	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $258.36 / $389.91 / $573.96	Professional		$258.36	$389.91	$573.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.95 / $260.95 / $260.95	Professional		$260.95	$260.95	$260.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $567.50 / $661.44 / $896.14	Facility		$567.50	$661.44	$896.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.94 / $341.93 / $533.41	Professional		$63.94	$341.93	$533.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $208.56 / $481.55 / $611.29	Professional		$208.56	$481.55	$611.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $344.31 / $1,039.66 / $4,933.00	Facility		$344.31	$1,039.66	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $277.20 / $439.33 / $695.75	Professional		$277.20	$439.33	$695.75
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $216.90 / $314.77	Professional		$32.13	$216.90	$314.77
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 $335.38 / $587.26 / $744.03	Professional		$335.38	$587.26	$744.03