Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $171.18 / $276.49 / $4,933.00	Facility		$171.18	$276.49	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $117.37 / $156.80 / $225.95	Professional		$117.37	$156.80	$225.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $160.47 / $160.47 / $160.47	Professional		$160.47	$160.47	$160.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $155.81 / $181.60 / $246.04	Facility		$155.81	$181.60	$246.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $195.21 / $292.81	Professional		$33.18	$195.21	$292.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $106.50 / $152.37 / $296.25	Professional		$106.50	$152.37	$296.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $166.74 / $276.49 / $4,933.00	Facility		$166.74	$276.49	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $129.10 / $176.46 / $261.79	Professional		$129.10	$176.46	$261.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $153.48 / $211.65	Professional		$120.84	$153.48	$211.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,740.00	Facility		$1,050.00	$3,569.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $164.07 / $190.05 / $292.39	Professional		$164.07	$190.05	$292.39