Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $19.47 / $60.37 / $4,933.00	Facility		$19.47	$60.37	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $14.82 / $19.47 / $28.03	Professional		$14.82	$19.47	$28.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $17.30 / $17.30 / $23.93	Professional		$17.30	$17.30	$23.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $88.47 / $103.63 / $145.80	Facility		$88.47	$103.63	$145.80
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3.21 / $12.60 / $20.97	Professional		$3.21	$12.60	$20.97
Cigna Facility/Professional Professional Modifier Low / Median / High Price $13.74 / $18.96 / $66.18	Professional		$13.74	$18.96	$66.18
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $19.01 / $21.69 / $4,933.00	Facility		$19.01	$21.69	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $16.30 / $19.61 / $28.16	Professional		$16.30	$19.61	$28.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $10.22 / $10.22 / $11.72	Professional		$10.22	$10.22	$11.72
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 $17.22 / $21.50 / $28.25	Professional		$17.22	$21.50	$28.25