Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.48 / $342.22 / $4,933.00	Facility		$211.48	$342.22	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $144.83 / $194.95 / $271.61	Professional		$144.83	$194.95	$271.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $348.23 / $348.23 / $348.23	Professional		$348.23	$348.23	$348.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $200.14 / $233.27 / $316.04	Facility		$200.14	$233.27	$316.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.06 / $241.52 / $362.28	Professional		$41.06	$241.52	$362.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $132.09 / $188.69 / $370.60	Professional		$132.09	$188.69	$370.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $206.47 / $342.22 / $4,933.00	Facility		$206.47	$342.22	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $165.08 / $215.28 / $314.29	Professional		$165.08	$215.28	$314.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $149.36 / $186.31 / $255.58	Professional		$149.36	$186.31	$255.58
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 $201.54 / $231.80 / $321.39	Professional		$201.54	$231.80	$321.39