Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $156.27 / $180.64 / $4,933.00	Facility		$156.27	$180.64	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $106.68 / $144.78 / $204.19	Professional		$106.68	$144.78	$204.19
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $172.38	Professional	50	$172.38	$172.38	$172.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.07 / $131.52 / $229.98	Professional		$111.07	$131.52	$229.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $129.31 / $150.71 / $204.19	Facility		$129.31	$150.71	$204.19
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $69.67 / $94.54 / $133.15	Facility	50	$69.67	$94.54	$133.15
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.99 / $173.15 / $287.06	Professional		$30.99	$173.15	$287.06
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $292.39 / $292.39 / $320.36	Professional	50	$292.39	$292.39	$320.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.25 / $124.90 / $263.77	Professional		$93.25	$124.90	$263.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $130.84 / $174.19 / $4,933.00	Facility		$130.84	$174.19	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $114.92 / $149.81 / $218.83	Professional		$114.92	$149.81	$218.83
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $172.38 / $172.38 / $172.38	Professional	50	$172.38	$172.38	$172.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.48 / $101.38 / $139.66	Professional		$82.48	$101.38	$139.66
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,209.00 / $2,029.00	Facility		$464.00	$1,209.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $130.82 / $154.27 / $237.45	Professional		$130.82	$154.27	$237.45