Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $59.00 / $177.87 / $4,933.00	Facility		$59.00	$177.87	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $43.92 / $70.06 / $118.96	Professional		$43.92	$70.06	$118.96
Aetna Facility/Professional Professional Modifier 52 Low / Median / High Price $22.53 / $31.05 / $45.39	Professional	52	$22.53	$31.05	$45.39
Aetna Facility/Professional Professional Modifier 53 Low / Median / High Price $9.01 / $12.42 / $18.14	Professional	53	$9.01	$12.42	$18.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $75.16 / $75.16 / $75.16	Professional		$75.16	$75.16	$75.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $259.07 / $301.95 / $409.10	Facility		$259.07	$301.95	$409.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $11.69 / $65.28 / $92.77	Professional		$11.69	$65.28	$92.77
Cigna Facility/Professional Professional Modifier Low / Median / High Price $47.44 / $73.94 / $117.16	Professional		$47.44	$73.94	$117.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $78.14 / $278.39 / $4,933.00	Facility		$78.14	$278.39	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $54.91 / $80.20 / $124.12	Professional		$54.91	$80.20	$124.12
Health Alliance Plan Facility/Professional Professional Modifier 52 Low / Median / High Price $25.42 / $36.53 / $45.67	Professional	52	$25.42	$36.53	$45.67
Health Alliance Plan Facility/Professional Professional Modifier 53 Low / Median / High Price $10.17 / $14.61 / $18.27	Professional	53	$10.17	$14.61	$18.27
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 $77.81 / $96.93 / $122.83	Professional		$77.81	$96.93	$122.83