Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.02 / $464.00 / $4,933.00	Facility		$59.02	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $46.25 / $67.01 / $91.25	Professional		$46.25	$67.01	$91.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $67.45 / $79.56 / $79.56	Professional		$67.45	$79.56	$79.56
BCBS Facility/Professional Facility Modifier Low / Median / High Price $373.53 / $435.36 / $589.84	Facility		$373.53	$435.36	$589.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.90 / $47.90 / $92.13	Professional		$11.90	$47.90	$92.13
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.33 / $72.65 / $205.74	Professional		$43.33	$72.65	$205.74
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $79.02 / $803.09 / $4,933.00	Facility		$79.02	$803.09	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $59.02 / $79.02 / $112.88	Professional		$59.02	$79.02	$112.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $67.87 / $95.12	Professional		$54.90	$67.87	$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 $72.11 / $88.13 / $117.22	Professional		$72.11	$88.13	$117.22