Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $93.79 / $536.33 / $4,933.00	Facility		$93.79	$536.33	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $72.12 / $93.79 / $126.48	Professional		$72.12	$93.79	$126.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $64.50 / $64.50 / $78.87	Professional		$64.50	$64.50	$78.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $209.11 / $244.10 / $332.53	Facility		$209.11	$244.10	$332.53
BCBS Facility/Professional Professional Modifier Low / Median / High Price $18.96 / $73.20 / $145.02	Professional		$18.96	$73.20	$145.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $65.70 / $97.46 / $147.80	Professional		$65.70	$97.46	$147.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $90.14 / $536.33 / $4,933.00	Facility		$90.14	$536.33	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $85.44 / $95.00 / $165.00	Professional		$85.44	$95.00	$165.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.90 / $68.34 / $97.88	Professional		$54.90	$68.34	$97.88
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $96.88 / $118.70 / $152.59	Professional		$96.88	$118.70	$152.59