Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $23.52 / $4,933.00 / $4,933.00	Facility		$23.52	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $18.37 / $41.36 / $86.68	Professional		$18.37	$41.36	$86.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.00 / $111.00 / $111.00	Professional		$111.00	$111.00	$111.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $19.92 / $159.40 / $625.72	Facility		$19.92	$159.40	$625.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $5.42 / $22.16 / $38.24	Professional		$5.42	$22.16	$38.24
Cigna Facility/Professional Professional Modifier Low / Median / High Price $28.12 / $74.09 / $100.57	Professional		$28.12	$74.09	$100.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $63.52 / $4,933.00 / $4,933.00	Facility		$63.52	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $23.52 / $63.52 / $109.21	Professional		$23.52	$63.52	$109.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $81.77 / $101.19 / $143.14	Professional		$81.77	$101.19	$143.14
United Facility/Professional Professional Modifier Low / Median / High Price $45.49 / $75.98 / $114.16	Professional		$45.49	$75.98	$114.16