Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $49.04 / $205.24 / $2,877.00	Facility		$49.04	$205.24	$2,877.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.18 / $93.00 / $162.96	Professional		$44.18	$93.00	$162.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.09 / $34.08 / $35.11	Professional		$33.09	$34.08	$35.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $300.43 / $412.39 / $992.03	Facility		$300.43	$412.39	$992.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.81 / $49.20 / $81.56	Professional		$8.81	$49.20	$81.56
Cigna Facility/Professional Facility Modifier Low / Median / High Price $59.84 / $59.84 / $59.84	Facility		$59.84	$59.84	$59.84
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.40 / $112.14 / $248.90	Professional		$36.40	$112.14	$248.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $49.04 / $206.30 / $4,933.00	Facility		$49.04	$206.30	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.30 / $110.41 / $191.72	Professional		$47.30	$110.41	$191.72
Molina Facility/Professional Professional Modifier Low / Median / High Price $107.54 / $131.84 / $186.37	Professional		$107.54	$131.84	$186.37
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 $122.37 / $149.66 / $218.31	Professional		$122.37	$149.66	$218.31