Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $82.57 / $1,521.80 / $4,933.00	Facility		$82.57	$1,521.80	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $137.11 / $396.41	Professional		$65.16	$137.11	$396.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.33 / $61.33 / $61.33	Professional		$61.33	$61.33	$61.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $703.59 / $986.85 / $1,543.34	Facility		$703.59	$986.85	$1,543.34
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $570.82 / $718.09 / $973.76	Facility	50	$570.82	$718.09	$973.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.73 / $98.60 / $133.11	Professional		$18.73	$98.60	$133.11
Cigna Facility/Professional Facility Modifier Low / Median / High Price $111.69 / $111.69 / $111.69	Facility		$111.69	$111.69	$111.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $70.20 / $178.21 / $518.86	Professional		$70.20	$178.21	$518.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $155.69 / $1,924.00 / $4,933.00	Facility		$155.69	$1,924.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.43 / $155.69 / $405.55	Professional		$71.43	$155.69	$405.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $237.99 / $297.02 / $418.88	Professional		$237.99	$297.02	$418.88
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $2,704.00 / $4,504.00	Facility		$645.00	$2,704.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $182.58 / $232.78 / $421.41	Professional		$182.58	$232.78	$421.41