Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $317.01 / $2,693.00 / $4,933.00	Facility		$317.01	$2,693.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.13 / $317.01 / $463.09	Professional		$228.13	$317.01	$463.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $334.74 / $334.74 / $465.60	Professional		$334.74	$334.74	$465.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,320.35 / $3,869.99 / $5,243.22	Facility		$3,320.35	$3,869.99	$5,243.22
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.50 / $270.70 / $356.87	Professional		$57.50	$270.70	$356.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $232.34 / $318.64 / $1,123.65	Professional		$232.34	$318.64	$1,123.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $332.86 / $1,987.30 / $5,580.88	Facility		$332.86	$1,987.30	$5,580.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $274.44 / $334.02 / $486.24	Professional		$274.44	$334.02	$486.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.82 / $266.22 / $397.15	Professional		$30.82	$266.22	$397.15
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,806.00 / $8,884.00	Facility		$2,524.00	$5,806.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $312.79 / $371.50 / $501.72	Professional		$312.79	$371.50	$501.72