Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $783.42 / $4,112.00 / $4,933.00	Facility		$783.42	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $529.46 / $783.42 / $883.20	Professional		$529.46	$783.42	$883.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,100.00 / $2,100.00 / $2,100.00	Professional		$2,100.00	$2,100.00	$2,100.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,579.88 / $7,627.21 / $17,588.96	Facility		$5,579.88	$7,627.21	$17,588.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $779.13 / $1,013.10 / $5,366.10	Professional		$779.13	$1,013.10	$5,366.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $2,564.85 / $2,564.85 / $2,564.85	Professional		$2,564.85	$2,564.85	$2,564.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $632.75 / $4,112.00 / $4,933.00	Facility		$632.75	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $632.75 / $708.00 / $883.20	Professional		$632.75	$708.00	$883.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $30.00	Professional		$30.00	$30.00	$30.00
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,030.00 / $12,726.00	Facility		$3,500.00	$8,030.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $687.48 / $841.77 / $1,089.54	Professional		$687.48	$841.77	$1,089.54