Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $3,208.79 / $4,328.47	Facility		$41.50	$3,208.79	$4,328.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $41.50 / $53.95	Professional		$40.29	$41.50	$53.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $44.59 / $44.59 / $53.51	Professional		$44.59	$44.59	$53.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $38.68 / $74.56 / $151.05	Facility		$38.68	$74.56	$151.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $35.14 / $38.47 / $49.94	Professional		$35.14	$38.47	$49.94
Cigna Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $40.29 / $60.58	Professional		$40.29	$40.29	$60.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $41.50 / $89.56 / $4,708.26	Facility		$41.50	$89.56	$4,708.26
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $41.50 / $55.12	Professional		$40.29	$41.50	$55.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $49.04 / $70.23	Professional		$40.29	$49.04	$70.23
United Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $44.85 / $49.96	Professional		$40.29	$44.85	$49.96