Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.64 / $947.70 / $4,933.00	Facility		$270.64	$947.70	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $184.74 / $257.05 / $453.43	Professional		$184.74	$257.05	$453.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $461.50 / $461.50 / $461.50	Professional		$461.50	$461.50	$461.50
BCBS Facility/Professional Facility Modifier Low / Median / High Price $771.94 / $899.72 / $1,218.98	Facility		$771.94	$899.72	$1,218.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.23 / $245.80 / $414.79	Professional		$52.23	$245.80	$414.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.99 / $264.08 / $442.82	Professional		$183.99	$264.08	$442.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $287.31 / $947.70 / $4,933.00	Facility		$287.31	$947.70	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $220.51 / $287.31 / $466.11	Professional		$220.51	$287.31	$466.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $221.82 / $271.66 / $371.48	Professional		$221.82	$271.66	$371.48
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 $290.62 / $331.53 / $439.56	Professional		$290.62	$331.53	$439.56