Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $40.93 / $555.97 / $4,933.00	Facility		$40.93	$555.97	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $28.03 / $81.03 / $195.18	Professional		$28.03	$81.03	$195.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $26.50 / $29.91 / $38.88	Professional		$26.50	$29.91	$38.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $282.14 / $406.93 / $970.21	Facility		$282.14	$406.93	$970.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.54 / $33.24 / $59.83	Professional		$7.54	$33.24	$59.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $51.10 / $51.10 / $51.10	Facility		$51.10	$51.10	$51.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.94 / $106.82 / $285.36	Professional		$30.94	$106.82	$285.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $169.15 / $555.97 / $4,933.00	Facility		$169.15	$555.97	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $32.72 / $162.94 / $224.65	Professional		$32.72	$162.94	$224.65
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 $153.09 / $204.05 / $286.98	Professional		$153.09	$204.05	$286.98