Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $35.26 / $605.12 / $4,933.00	Facility		$35.26	$605.12	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $29.12 / $38.39 / $70.54	Professional		$29.12	$38.39	$70.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $38.24 / $38.24 / $38.24	Professional		$38.24	$38.24	$38.24
BCBS Facility/Professional Facility Modifier Low / Median / High Price $511.78 / $597.41 / $813.83	Facility		$511.78	$597.41	$813.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.56 / $36.14 / $47.63	Professional		$8.56	$36.14	$47.63
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.86 / $42.52 / $60.86	Professional		$27.86	$42.52	$60.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $35.26 / $605.12 / $4,933.00	Facility		$35.26	$605.12	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $35.11 / $42.14 / $73.70	Professional		$35.11	$42.14	$73.70
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 $42.12 / $50.08 / $61.76	Professional		$42.12	$50.08	$61.76