Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $72.15 / $2,056.00 / $4,933.00	Facility		$72.15	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $57.01 / $74.92 / $231.19	Professional		$57.01	$74.92	$231.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $49.45 / $49.45 / $49.45	Professional		$49.45	$49.45	$49.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $549.70 / $641.66 / $874.12	Facility		$549.70	$641.66	$874.12
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.83 / $80.83 / $193.99	Professional		$15.83	$80.83	$193.99
Cigna Facility/Professional Professional Modifier Low / Median / High Price $51.31 / $86.26 / $125.17	Professional		$51.31	$86.26	$125.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $87.84 / $2,056.00 / $4,933.00	Facility		$87.84	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $58.61 / $87.84 / $217.46	Professional		$58.61	$87.84	$217.46
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 $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $64.70 / $89.61 / $129.59	Professional		$64.70	$89.61	$129.59