Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $21.91 / $27.60 / $341.87	Facility		$21.91	$27.60	$341.87
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.66 / $23.06 / $65.31	Professional		$18.66	$23.06	$65.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $24.26 / $24.26 / $26.45	Professional		$24.26	$24.26	$26.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $12.66 / $27.39 / $52.67	Facility		$12.66	$27.39	$52.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.37 / $7.86 / $30.46	Professional		$5.37	$7.86	$30.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $18.00 / $38.54 / $93.08	Professional		$18.00	$38.54	$93.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $22.28 / $62.21 / $341.87	Facility		$22.28	$62.21	$341.87
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $19.76 / $25.19 / $80.87	Professional		$19.76	$25.19	$80.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $11.72 / $11.93 / $75.00	Professional		$11.72	$11.93	$75.00
United Facility/Professional Facility Modifier Low / Median / High Price $93.96 / $209.61 / $362.85	Facility		$93.96	$209.61	$362.85
United Facility/Professional Professional Modifier Low / Median / High Price $19.85 / $51.88 / $81.39	Professional		$19.85	$51.88	$81.39