Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $45.01 / $2,056.00 / $4,933.00	Facility		$45.01	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $31.21 / $45.01 / $78.98	Professional		$31.21	$45.01	$78.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $16.45 / $35.10 / $47.39	Professional		$16.45	$35.10	$47.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $191.93 / $224.04 / $305.20	Facility		$191.93	$224.04	$305.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.72 / $32.06 / $54.86	Professional		$8.72	$32.06	$54.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $32.21 / $44.07 / $116.37	Professional		$32.21	$44.07	$116.37
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.47 / $2,056.00 / $4,933.00	Facility		$35.47	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.47 / $45.00 / $79.91	Professional		$35.47	$45.00	$79.91
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.87 / $34.60 / $49.83	Professional		$27.87	$34.60	$49.83
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 $36.36 / $43.74 / $63.55	Professional		$36.36	$43.74	$63.55