Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $51.90 / $2,056.00 / $4,933.00	Facility		$51.90	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $36.64 / $130.33 / $253.31	Professional		$36.64	$130.33	$253.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.04 / $167.04 / $167.04	Professional		$167.04	$167.04	$167.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $343.32 / $493.09 / $1,175.60	Facility		$343.32	$493.09	$1,175.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.77 / $89.64 / $121.01	Professional		$56.77	$89.64	$121.01
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $81.48 / $95.87 / $411.44	Professional	50	$81.48	$95.87	$411.44
Cigna Facility/Professional Facility Modifier Low / Median / High Price $68.48 / $68.48 / $68.48	Facility		$68.48	$68.48	$68.48
Cigna Facility/Professional Professional Modifier Low / Median / High Price $41.76 / $147.29 / $343.00	Professional		$41.76	$147.29	$343.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.87 / $2,056.00 / $4,933.00	Facility		$54.87	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.53 / $141.40 / $263.83	Professional		$41.53	$141.40	$263.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.72 / $164.93 / $232.83	Professional		$134.72	$164.93	$232.83
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $156.02 / $178.81 / $279.61	Professional		$156.02	$178.81	$279.61