Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $38.14 / $173.91 / $4,933.00	Facility		$38.14	$173.91	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $32.02 / $44.89 / $82.65	Professional		$32.02	$44.89	$82.65
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.58 / $48.58 / $48.58	Professional		$48.58	$48.58	$48.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $148.36 / $172.92 / $234.28	Facility		$148.36	$172.92	$234.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $7.28 / $42.82 / $61.02	Professional		$7.28	$42.82	$61.02
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.91 / $67.91 / $68.70	Professional	50	$67.91	$67.91	$68.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.36 / $43.60 / $65.33	Professional		$27.36	$43.60	$65.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $38.14 / $89.72 / $4,933.00	Facility		$38.14	$89.72	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $31.58 / $48.08 / $87.23	Professional		$31.58	$48.08	$87.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $18.11 / $18.32 / $75.00	Professional		$18.11	$18.32	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,386.00 / $2,449.00	Facility		$300.00	$1,386.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $33.95 / $58.33 / $77.23	Professional		$33.95	$58.33	$77.23