Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $134.90 / $2,877.00 / $4,933.00	Facility		$134.90	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $86.98 / $134.90 / $149.60	Professional		$86.98	$134.90	$149.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $271.12 / $271.12 / $271.12	Professional		$271.12	$271.12	$271.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,675.93 / $2,538.09 / $6,085.86	Facility		$1,675.93	$2,538.09	$6,085.86
BCBS Facility/Professional Professional Modifier Low / Median / High Price $200.12 / $221.18 / $263.31	Professional		$200.12	$221.18	$263.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $294.62 / $294.62 / $294.62	Professional		$294.62	$294.62	$294.62
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $962.13 / $2,877.00 / $4,933.00	Facility		$962.13	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.12 / $134.90 / $172.12	Professional		$91.12	$134.90	$172.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $50.00	Professional		$30.00	$30.00	$50.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,036.00	Facility		$1,050.00	$3,640.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $148.50 / $193.37 / $265.33	Professional		$148.50	$193.37	$265.33