Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $193.19 / $464.00 / $4,933.00	Facility		$193.19	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.38 / $176.29 / $241.68	Professional		$130.38	$176.29	$241.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $134.49 / $134.49 / $134.49	Professional		$134.49	$134.49	$134.49
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $233.53 / $233.53 / $233.53	Professional	50	$233.53	$233.53	$233.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $147.78 / $172.24 / $233.36	Facility		$147.78	$172.24	$233.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $37.92 / $155.10 / $334.64	Professional		$37.92	$155.10	$334.64
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $357.90 / $357.90 / $377.88	Professional	50	$357.90	$357.90	$377.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.48 / $153.71 / $327.22	Professional		$114.48	$153.71	$327.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $155.44 / $2,056.00 / $4,933.00	Facility		$155.44	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $144.65 / $179.70 / $255.36	Professional		$144.65	$179.70	$255.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $120.84 / $153.48 / $211.65	Professional		$120.84	$153.48	$211.65
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 $156.96 / $183.28 / $250.85	Professional		$156.96	$183.28	$250.85