Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $157.97 / $520.09 / $4,933.00	Facility		$157.97	$520.09	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $108.35 / $157.97 / $233.43	Professional		$108.35	$157.97	$233.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $127.23 / $127.23 / $127.23	Professional		$127.23	$127.23	$127.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $481.15 / $561.65 / $765.12	Facility		$481.15	$561.65	$765.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $32.17 / $159.66 / $298.05	Professional		$32.17	$159.66	$298.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $91.05 / $171.74 / $279.33	Professional		$91.05	$171.74	$279.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $186.96 / $465.61 / $4,933.00	Facility		$186.96	$465.61	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $145.83 / $187.83 / $291.48	Professional		$145.83	$187.83	$291.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $118.03 / $174.81 / $255.18	Professional		$118.03	$174.81	$255.18
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $2,246.00 / $4,504.00	Facility		$645.00	$2,246.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $191.56 / $231.09 / $313.70	Professional		$191.56	$231.09	$313.70