Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $132.02 / $217.16 / $3,580.40	Facility		$132.02	$217.16	$3,580.40
Aetna Facility/Professional Professional Modifier Low / Median / High Price $90.40 / $123.43 / $182.16	Professional		$90.40	$123.43	$182.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $88.94 / $136.63 / $278.56	Professional		$88.94	$136.63	$278.56
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 $18.46 / $114.16 / $189.26	Professional		$18.46	$114.16	$189.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $83.35 / $118.73 / $199.74	Professional		$83.35	$118.73	$199.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $128.11 / $752.51 / $3,580.40	Facility		$128.11	$752.51	$3,580.40
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $100.21 / $136.91 / $199.42	Professional		$100.21	$136.91	$199.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.43 / $101.38 / $139.66	Professional		$82.43	$101.38	$139.66
United Facility/Professional Facility Modifier Low / Median / High Price $234.32 / $1,247.00 / $2,029.00	Facility		$234.32	$1,247.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $128.43 / $145.76 / $202.11	Professional		$128.43	$145.76	$202.11