Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.18 / $464.00 / $4,933.00	Facility		$52.18	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $35.25 / $75.75 / $114.61	Professional		$35.25	$75.75	$114.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.82 / $35.82 / $35.82	Professional		$35.82	$35.82	$35.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $84.37 / $99.03 / $134.16	Facility		$84.37	$99.03	$134.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.74 / $45.56 / $69.87	Professional		$10.74	$45.56	$69.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $36.32 / $68.61 / $127.55	Professional		$36.32	$68.61	$127.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $68.26 / $2,056.00 / $4,933.00	Facility		$68.26	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $47.28 / $101.51 / $134.61	Professional		$47.28	$101.51	$134.61
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 $53.39 / $87.98 / $124.23	Professional		$53.39	$87.98	$124.23