Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $33.74 / $301.31 / $4,933.00	Facility		$33.74	$301.31	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.06 / $58.67 / $102.27	Professional		$32.06	$58.67	$102.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $23.89 / $23.89 / $23.89	Professional		$23.89	$23.89	$23.89
BCBS Facility/Professional Facility Modifier Low / Median / High Price $120.31 / $140.22 / $189.98	Facility		$120.31	$140.22	$189.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.12 / $39.74 / $52.29	Professional		$7.12	$39.74	$52.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $25.40 / $60.86 / $134.85	Professional		$25.40	$60.86	$134.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $68.34 / $301.31 / $4,933.00	Facility		$68.34	$301.31	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $33.74 / $68.34 / $108.70	Professional		$33.74	$68.34	$108.70
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 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $70.48 / $78.59 / $106.12	Professional		$70.48	$78.59	$106.12