Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.01 / $2,056.00 / $4,933.00	Facility		$55.01	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $39.27 / $55.01 / $67.53	Professional		$39.27	$55.01	$67.53
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $45.97 / $45.97 / $45.97	Professional		$45.97	$45.97	$45.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.27 / $372.13 / $504.18	Facility		$319.27	$372.13	$504.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.25 / $62.93 / $106.30	Professional		$13.25	$62.93	$106.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.90 / $52.39 / $170.16	Professional		$36.90	$52.39	$170.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $48.68 / $2,056.00 / $4,933.00	Facility		$48.68	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.07 / $48.68 / $65.70	Professional		$42.07	$48.68	$65.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.79 / $33.83 / $49.49	Professional		$27.79	$33.83	$49.49
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 $43.52 / $54.40 / $77.28	Professional		$43.52	$54.40	$77.28