Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $4,933.00 / $6,853.00 / $9,130.23	Facility		$4,933.00	$6,853.00	$9,130.23
Aetna Facility/Professional Professional Modifier Low / Median / High Price $2,790.94 / $8,673.43 / $9,130.23	Professional		$2,790.94	$8,673.43	$9,130.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $590.41 / $590.41 / $590.41	Professional		$590.41	$590.41	$590.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $18,168.16 / $21,175.64 / $28,689.62	Facility		$18,168.16	$21,175.64	$28,689.62
BCBS Facility/Professional Professional Modifier Low / Median / High Price $3,174.75 / $15,950.05 / $22,665.87	Professional		$3,174.75	$15,950.05	$22,665.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $141.12 / $4,933.00 / $9,130.21	Facility		$141.12	$4,933.00	$9,130.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $141.12 / $1,912.46 / $9,130.23	Professional		$141.12	$1,912.46	$9,130.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,134.84 / $1,305.07 / $1,588.79	Professional		$1,134.84	$1,305.07	$1,588.79
United Facility/Professional Facility Modifier Low / Median / High Price $7,133.00 / $11,550.00 / $15,011.00	Facility		$7,133.00	$11,550.00	$15,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $740.42 / $1,087.88 / $15,021.98	Professional		$740.42	$1,087.88	$15,021.98