Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $37.39 / $102.52	Facility		$23.35	$37.39	$102.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $23.35 / $37.39 / $53.29	Professional		$23.35	$37.39	$53.29
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $13.61 / $13.61 / $28.75	Professional		$13.61	$13.61	$28.75
BCBS Facility/Professional Facility Modifier Low / Median / High Price $53.29 / $76.06 / $173.01	Facility		$53.29	$76.06	$173.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $4.57 / $25.55 / $44.37	Professional		$4.57	$25.55	$44.37
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $43.14 / $59.76 / $70.31	Professional	50	$43.14	$59.76	$70.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $17.86 / $31.97 / $60.00	Professional		$17.86	$31.97	$60.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $23.35 / $50.68 / $515.08	Facility		$23.35	$50.68	$515.08
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $26.91 / $44.28 / $64.59	Professional		$26.91	$44.28	$64.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.50 / $18.73 / $75.00	Professional		$11.50	$18.73	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $32.35 / $56.14 / $66.47	Professional		$32.35	$56.14	$66.47