Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.22 / $329.60 / $4,933.00	Facility		$197.22	$329.60	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.50 / $201.02 / $329.60	Professional		$130.50	$201.02	$329.60
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $340.28 / $340.28 / $340.28	Professional	50	$340.28	$340.28	$340.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $271.56 / $316.51 / $428.83	Facility		$271.56	$316.51	$428.83
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $155.31 / $241.88 / $290.75	Facility	50	$155.31	$241.88	$290.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.59 / $245.93 / $353.21	Professional		$37.59	$245.93	$353.21
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $354.71 / $354.71 / $556.83	Professional	50	$354.71	$354.71	$556.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $123.83 / $203.92 / $438.54	Professional		$123.83	$203.92	$438.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $225.15 / $329.60 / $4,933.00	Facility		$225.15	$329.60	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $143.56 / $225.15 / $354.99	Professional		$143.56	$225.15	$354.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $168.84 / $269.69	Professional		$30.79	$168.84	$269.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $228.54 / $270.38 / $355.62	Professional		$228.54	$270.38	$355.62