Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $79.81 / $464.00 / $4,933.00	Facility		$79.81	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $56.04 / $88.23 / $160.37	Professional		$56.04	$88.23	$160.37
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $159.91 / $159.91 / $269.20	Professional	50	$159.91	$159.91	$269.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $86.57 / $86.57 / $86.57	Professional		$86.57	$86.57	$86.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $432.77 / $507.94 / $688.18	Facility		$432.77	$507.94	$688.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $15.92 / $61.97 / $187.20	Professional		$15.92	$61.97	$187.20
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $190.68 / $190.68 / $311.04	Professional	50	$190.68	$190.68	$311.04
Cigna Facility/Professional Professional Modifier Low / Median / High Price $52.72 / $90.11 / $167.45	Professional		$52.72	$90.11	$167.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $81.23 / $280.93 / $4,933.00	Facility		$81.23	$280.93	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $71.20 / $98.00 / $161.93	Professional		$71.20	$98.00	$161.93
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $159.91 / $159.91 / $269.20	Professional	50	$159.91	$159.91	$269.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.79 / $101.78 / $144.21	Professional		$81.79	$101.78	$144.21
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 $94.93 / $118.67 / $156.52	Professional		$94.93	$118.67	$156.52