Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $44.14 / $117.80 / $4,933.00	Facility		$44.14	$117.80	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $33.21 / $48.13 / $70.98	Professional		$33.21	$48.13	$70.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.76 / $44.76 / $44.76	Professional		$44.76	$44.76	$44.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $402.35 / $543.30 / $1,275.88	Facility		$402.35	$543.30	$1,275.88
BCBS Facility/Professional Professional Modifier Low / Median / High Price $9.65 / $36.51 / $58.42	Professional		$9.65	$36.51	$58.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $30.04 / $49.00 / $97.51	Professional		$30.04	$49.00	$97.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $54.01 / $117.80 / $4,933.00	Facility		$54.01	$117.80	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $39.25 / $54.01 / $76.09	Professional		$39.25	$54.01	$76.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $54.68 / $68.01 / $96.85	Professional		$54.68	$68.01	$96.85
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $46.56 / $62.08 / $83.59	Professional		$46.56	$62.08	$83.59