Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $640.64 / $837.10 / $5,757.00	Facility		$640.64	$837.10	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $510.16 / $616.54 / $825.83	Professional		$510.16	$616.54	$825.83
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $502.91 / $502.91 / $876.18	Professional		$502.91	$502.91	$876.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $775.19 / $899.72 / $1,218.98	Facility		$775.19	$899.72	$1,218.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.50 / $526.48 / $914.76	Professional		$89.50	$526.48	$914.76
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $931.77 / $931.77 / $962.64	Professional	50	$931.77	$931.77	$962.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.32 / $560.25 / $897.50	Professional		$383.32	$560.25	$897.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $527.32 / $867.05 / $5,757.00	Facility		$527.32	$867.05	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $517.59 / $616.96 / $854.94	Professional		$517.59	$616.96	$854.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.01 / $328.83 / $551.06	Professional		$68.01	$328.83	$551.06
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 $557.74 / $673.52 / $861.14	Professional		$557.74	$673.52	$861.14