Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $104.10 / $2,056.00 / $4,933.00	Facility		$104.10	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $77.04 / $181.36 / $283.14	Professional		$77.04	$181.36	$283.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $155.00 / $155.00 / $155.00	Professional		$155.00	$155.00	$155.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $123.00 / $123.00 / $123.00	Facility		$123.00	$123.00	$123.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $116.85 / $129.15 / $153.75	Professional		$116.85	$129.15	$153.75
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $131.55 / $131.55 / $348.32	Professional	50	$131.55	$131.55	$348.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $72.78 / $159.62 / $334.59	Professional		$72.78	$159.62	$334.59
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $211.70 / $2,056.00 / $4,933.00	Facility		$211.70	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $104.10 / $211.70 / $301.18	Professional		$104.10	$211.70	$301.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $236.99 / $335.79	Professional		$190.70	$236.99	$335.79
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $205.49 / $260.52 / $345.63	Professional		$205.49	$260.52	$345.63