Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $47.71 / $849.05 / $4,933.00	Facility		$47.71	$849.05	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.50 / $114.71 / $225.09	Professional		$35.50	$114.71	$225.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $32.59 / $40.28 / $52.35	Professional		$32.59	$40.28	$52.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $400.72 / $478.48 / $676.57	Facility		$400.72	$478.48	$676.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.23 / $33.92 / $60.37	Professional		$9.23	$33.92	$60.37
Cigna Facility/Professional Facility Modifier Low / Median / High Price $62.62 / $62.62 / $62.62	Facility		$62.62	$62.62	$62.62
Cigna Facility/Professional Professional Modifier Low / Median / High Price $38.11 / $120.00 / $365.58	Professional		$38.11	$120.00	$365.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $60.11 / $849.05 / $4,933.00	Facility		$60.11	$849.05	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $37.03 / $147.07 / $283.61	Professional		$37.03	$147.07	$283.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.28 / $164.93 / $232.83	Professional		$134.28	$164.93	$232.83
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 $151.38 / $199.03 / $321.89	Professional		$151.38	$199.03	$321.89