Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $133.25 / $4,933.00	Facility		$61.01	$133.25	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $93.81 / $159.90	Professional		$61.01	$93.81	$159.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $96.78 / $113.86 / $113.86	Professional		$96.78	$113.86	$113.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $110.07 / $128.29 / $173.81	Facility		$110.07	$128.29	$173.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.90 / $40.20 / $76.58	Professional		$9.90	$40.20	$76.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.32 / $95.73 / $223.12	Professional		$45.32	$95.73	$223.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $61.01 / $102.71 / $4,933.00	Facility		$61.01	$102.71	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $61.01 / $102.71 / $167.89	Professional		$61.01	$102.71	$167.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.32 / $141.24	Professional		$81.79	$101.32	$141.24
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,209.00 / $2,029.00	Facility		$464.00	$1,209.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.29 / $116.86 / $158.27	Professional		$96.29	$116.86	$158.27