Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $52.16 / $4,933.00	Facility		$46.96	$52.16	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.32 / $52.16 / $74.84	Professional		$38.32	$52.16	$74.84
Aetna Facility/Professional Professional Modifier 50 Low / Median / High Price $86.90 / $86.90 / $94.47	Professional	50	$86.90	$86.90	$94.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $65.08 / $65.08 / $65.08	Professional		$65.08	$65.08	$65.08
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $97.61 / $97.61 / $97.61	Professional	50	$97.61	$97.61	$97.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $319.27 / $372.13 / $504.18	Facility		$319.27	$372.13	$504.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $6.42 / $37.81 / $63.03	Professional		$6.42	$37.81	$63.03
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $67.41 / $67.41 / $71.81	Professional	50	$67.41	$67.41	$71.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $34.40 / $53.46 / $80.12	Professional		$34.40	$53.46	$80.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $46.96 / $68.80 / $4,933.00	Facility		$46.96	$68.80	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $41.96 / $54.77 / $86.81	Professional		$41.96	$54.77	$86.81
Health Alliance Plan Facility/Professional Professional Modifier 50 Low / Median / High Price $86.90 / $86.90 / $94.47	Professional	50	$86.90	$86.90	$94.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $55.45 / $67.94 / $92.00	Professional		$55.45	$67.94	$92.00
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 $44.89 / $71.61 / $94.92	Professional		$44.89	$71.61	$94.92