Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $24.39 / $658.56 / $4,933.00	Facility		$24.39	$658.56	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.39 / $24.39 / $38.61	Professional		$18.39	$24.39	$38.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.06 / $26.06 / $26.06	Professional		$26.06	$26.06	$26.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $125.27 / $170.35 / $400.04	Facility		$125.27	$170.35	$400.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.08 / $31.90 / $75.95	Professional		$6.08	$31.90	$75.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $21.67 / $33.56 / $54.98	Professional		$21.67	$33.56	$54.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $26.45 / $962.00 / $4,933.00	Facility		$26.45	$962.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $22.66 / $26.45 / $44.30	Professional		$22.66	$26.45	$44.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $75.00 / $75.00 / $75.00	Professional		$75.00	$75.00	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $29.37 / $33.25 / $44.14	Professional		$29.37	$33.25	$44.14