Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.74 / $556.54 / $4,933.00	Facility		$327.74	$556.54	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $227.21 / $343.47 / $577.16	Professional		$227.21	$343.47	$577.16
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $300.00 / $515.21 / $721.29	Professional	50	$300.00	$515.21	$721.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $385.19 / $385.19 / $385.19	Professional		$385.19	$385.19	$385.19
BCBS Facility/Professional Facility Modifier Low / Median / High Price $250.11 / $291.75 / $410.46	Facility		$250.11	$291.75	$410.46
BCBS Facility/Professional Professional Modifier Low / Median / High Price $60.72 / $234.98 / $627.29	Professional		$60.72	$234.98	$627.29
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $603.16 / $603.16 / $603.16	Professional	50	$603.16	$603.16	$603.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $220.22 / $356.47 / $738.91	Professional		$220.22	$356.47	$738.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $343.40 / $556.54 / $4,933.00	Facility		$343.40	$556.54	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $270.62 / $430.19 / $577.16	Professional		$270.62	$430.19	$577.16
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $300.00 / $515.21 / $721.29	Professional	50	$300.00	$515.21	$721.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.24 / $349.58 / $508.16	Professional		$32.24	$349.58	$508.16
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 $317.58 / $487.50 / $675.64	Professional		$317.58	$487.50	$675.64