Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $55.42 / $638.12 / $4,933.00	Facility		$55.42	$638.12	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $44.28 / $75.90 / $139.77	Professional		$44.28	$75.90	$139.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $84.19 / $84.19 / $176.64	Professional		$84.19	$84.19	$176.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $421.66 / $573.37 / $1,346.49	Facility		$421.66	$573.37	$1,346.49
BCBS Facility/Professional Professional Modifier Low / Median / High Price $13.42 / $42.92 / $130.78	Professional		$13.42	$42.92	$130.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $44.20 / $78.17 / $182.57	Professional		$44.20	$78.17	$182.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $66.51 / $638.12 / $4,933.00	Facility		$66.51	$638.12	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $52.79 / $85.94 / $163.05	Professional		$52.79	$85.94	$163.05
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $102.47 / $146.41	Professional		$81.79	$102.47	$146.41
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 $80.47 / $98.66 / $147.82	Professional		$80.47	$98.66	$147.82