Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $92.72 / $362.13 / $4,933.00	Facility		$92.72	$362.13	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.84 / $177.75 / $253.44	Professional		$72.84	$177.75	$253.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.27 / $162.63 / $313.44	Professional		$46.27	$162.63	$313.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $217.97 / $254.05 / $344.20	Facility		$217.97	$254.05	$344.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $16.41 / $96.51 / $169.50	Professional		$16.41	$96.51	$169.50
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $162.97 / $162.97 / $432.21	Professional	50	$162.97	$162.97	$432.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $66.00 / $132.05 / $295.75	Professional		$66.00	$132.05	$295.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $213.36 / $421.89 / $4,933.00	Facility		$213.36	$421.89	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.54 / $213.36 / $284.45	Professional		$87.54	$213.36	$284.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.14 / $168.40 / $231.92	Professional		$137.14	$168.40	$231.92
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 $184.64 / $228.85 / $285.44	Professional		$184.64	$228.85	$285.44