Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $53.37 / $95.98 / $4,933.00	Facility		$53.37	$95.98	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.27 / $62.71 / $120.93	Professional		$38.27	$62.71	$120.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $46.01 / $46.01 / $46.01	Professional		$46.01	$46.01	$46.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $335.64 / $391.51 / $550.83	Facility		$335.64	$391.51	$550.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.54 / $67.84 / $88.06	Professional		$10.54	$67.84	$88.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.86 / $68.86 / $174.09	Professional		$38.86	$68.86	$174.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $69.61 / $1,195.68 / $4,933.00	Facility		$69.61	$1,195.68	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $53.37 / $69.61 / $120.93	Professional		$53.37	$69.61	$120.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $67.86 / $95.12	Professional		$54.68	$67.86	$95.12
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 $69.44 / $85.64 / $115.60	Professional		$69.44	$85.64	$115.60