Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $149.47 / $464.00 / $4,933.00	Facility		$149.47	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $100.67 / $220.58 / $375.44	Professional		$100.67	$220.58	$375.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $266.73 / $266.73 / $266.73	Professional		$266.73	$266.73	$266.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $384.99 / $448.72 / $607.94	Facility		$384.99	$448.72	$607.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.02 / $182.49 / $273.74	Professional		$33.02	$182.49	$273.74
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $278.82 / $278.82 / $659.10	Professional	50	$278.82	$278.82	$659.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $95.89 / $204.30 / $372.42	Professional		$95.89	$204.30	$372.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $157.81 / $382.19 / $4,933.00	Facility		$157.81	$382.19	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $131.66 / $258.79 / $437.84	Professional		$131.66	$258.79	$437.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $216.09 / $314.40	Professional		$32.24	$216.09	$314.40
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 $149.02 / $314.41 / $386.72	Professional		$149.02	$314.41	$386.72