Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $42.31 / $464.00 / $4,933.00	Facility		$42.31	$464.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $30.52 / $42.31 / $51.22	Professional		$30.52	$42.31	$51.22
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $15.17 / $15.17 / $20.72	Professional		$15.17	$15.17	$20.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $358.07 / $417.34 / $565.42	Facility		$358.07	$417.34	$565.42
BCBS Facility/Professional Professional Modifier Low / Median / High Price $8.21 / $28.68 / $50.71	Professional		$8.21	$28.68	$50.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $27.56 / $39.04 / $69.13	Professional		$27.56	$39.04	$69.13
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $37.64 / $2,056.00 / $4,933.00	Facility		$37.64	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $36.29 / $41.94 / $51.22	Professional		$36.29	$41.94	$51.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $27.10 / $33.64 / $45.98	Professional		$27.10	$33.64	$45.98
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $38.28 / $48.29 / $64.28	Professional		$38.28	$48.29	$64.28