Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $18.79 / $31.39	Facility		$14.37	$18.79	$31.39
Aetna Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $20.00 / $33.00	Professional		$13.42	$20.00	$33.00
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $73.78 / $73.78 / $73.78	Professional	50	$73.78	$73.78	$73.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $9.71 / $19.43 / $25.26	Professional		$9.71	$19.43	$25.26
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 $2.31 / $9.68 / $21.38	Professional		$2.31	$9.68	$21.38
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $17.67 / $20.79 / $37.17	Professional	50	$17.67	$20.79	$37.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $10.95 / $20.48 / $44.35	Professional		$10.95	$20.48	$44.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $14.37 / $29.70 / $29.70	Facility		$14.37	$29.70	$29.70
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $14.53 / $25.11 / $39.00	Professional		$14.53	$25.11	$39.00
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $73.78 / $73.78 / $73.78	Professional	50	$73.78	$73.78	$73.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $7.03 / $12.57 / $75.00	Professional		$7.03	$12.57	$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 $20.46 / $34.67 / $48.98	Professional		$20.46	$34.67	$48.98