Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $66.65 / $152.24 / $4,933.00	Facility		$66.65	$152.24	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $51.42 / $86.61 / $123.00	Professional		$51.42	$86.61	$123.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.69 / $52.80 / $71.28	Professional		$49.69	$52.80	$71.28
BCBS Facility/Professional Facility Modifier Low / Median / High Price $730.17 / $1,079.56 / $1,490.44	Facility		$730.17	$1,079.56	$1,490.44
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.33 / $83.14 / $124.70	Professional		$14.33	$83.14	$124.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $100.47 / $200.22	Professional		$53.55	$100.47	$200.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.65 / $152.24 / $4,933.00	Facility		$66.65	$152.24	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $60.77 / $107.72 / $155.13	Professional		$60.77	$107.72	$155.13
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.65 / $101.54 / $145.99	Professional		$81.65	$101.54	$145.99
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $101.14 / $130.91 / $174.40	Professional		$101.14	$130.91	$174.40