Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $61.40 / $1,350.39 / $4,933.00	Facility		$61.40	$1,350.39	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $45.60 / $98.34 / $159.32	Professional		$45.60	$98.34	$159.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $33.79 / $33.79 / $158.76	Professional		$33.79	$33.79	$158.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $122.89 / $181.69 / $243.55	Facility		$122.89	$181.69	$243.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.52 / $39.86 / $68.80	Professional		$8.52	$39.86	$68.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $43.62 / $102.30 / $244.29	Professional		$43.62	$102.30	$244.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $119.53 / $2,056.00 / $4,933.00	Facility		$119.53	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.34 / $119.53 / $178.17	Professional		$50.34	$119.53	$178.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.27 / $134.78 / $194.24	Professional		$108.27	$134.78	$194.24
United Facility/Professional Facility Modifier Low / Median / High Price $664.60 / $2,566.36 / $4,504.00	Facility		$664.60	$2,566.36	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $115.38 / $149.31 / $208.90	Professional		$115.38	$149.31	$208.90