Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $50.39 / $2,715.34 / $3,103.58	Facility		$50.39	$2,715.34	$3,103.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $42.50 / $50.39 / $151.46	Professional		$42.50	$50.39	$151.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $39.26 / $39.26 / $39.26	Professional		$39.26	$39.26	$39.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $441.48 / $623.37 / $1,470.82	Facility		$441.48	$623.37	$1,470.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $52.04 / $56.97 / $73.95	Professional		$52.04	$56.97	$73.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $49.26 / $79.00 / $222.72	Professional		$49.26	$79.00	$222.72
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $50.39 / $370.79 / $2,729.62	Facility		$50.39	$370.79	$2,729.62
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $42.26 / $86.40 / $179.36	Professional		$42.26	$86.40	$179.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $28.09 / $35.19 / $50.08	Professional		$28.09	$35.19	$50.08
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $50.98 / $163.54 / $233.11	Professional		$50.98	$163.54	$233.11