Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $127.58 / $464.00 / $4,933.00	Facility		$127.58	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $81.00 / $98.94 / $138.79	Professional		$81.00	$98.94	$138.79
Ambetter Facility/Professional Professional Modifier 50 Low / Median / High Price $268.67 / $268.67 / $268.67	Professional	50	$268.67	$268.67	$268.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $111.28 / $130.61 / $176.95	Facility		$111.28	$130.61	$176.95
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $60.04 / $92.17 / $119.98	Facility	50	$60.04	$92.17	$119.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $26.58 / $141.46 / $212.18	Professional		$26.58	$141.46	$212.18
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $238.88 / $238.88 / $249.26	Professional	50	$238.88	$238.88	$249.26
Cigna Facility/Professional Professional Modifier Low / Median / High Price $71.48 / $101.59 / $215.36	Professional		$71.48	$101.59	$215.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $105.19 / $141.28 / $4,933.00	Facility		$105.19	$141.28	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $87.01 / $113.49 / $164.20	Professional		$87.01	$113.49	$164.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $82.37 / $101.38 / $139.66	Professional		$82.37	$101.38	$139.66
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 $103.96 / $122.59 / $163.43	Professional		$103.96	$122.59	$163.43