Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $235.46 / $1,779.40 / $12,024.85	Facility		$235.46	$1,779.40	$12,024.85
Aetna Facility/Professional Professional Modifier Low / Median / High Price $149.21 / $246.08 / $425.51	Professional		$149.21	$246.08	$425.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $232.82 / $232.82 / $565.88	Professional		$232.82	$232.82	$565.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,865.85 / $2,174.71 / $2,946.39	Facility		$1,865.85	$2,174.71	$2,946.39
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,067.07 / $1,364.22 / $1,997.73	Facility	50	$1,067.07	$1,364.22	$1,997.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $46.05 / $284.45 / $451.98	Professional		$46.05	$284.45	$451.98
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $434.60 / $434.60 / $775.73	Professional	50	$434.60	$434.60	$775.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $153.81 / $285.98 / $528.54	Professional		$153.81	$285.98	$528.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $301.04 / $2,877.00 / $12,024.85	Facility		$301.04	$2,877.00	$12,024.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $216.92 / $301.04 / $441.27	Professional		$216.92	$301.04	$441.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.79 / $253.92 / $368.60	Professional		$30.79	$253.92	$368.60
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 $306.72 / $374.78 / $490.45	Professional		$306.72	$374.78	$490.45