Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $370.32 / $446.27 / $4,933.00	Facility		$370.32	$446.27	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.75 / $370.33 / $588.32	Professional		$271.75	$370.33	$588.32
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $487.78 / $487.78 / $487.78	Professional		$487.78	$487.78	$487.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,083.16 / $2,428.00 / $3,289.55	Facility		$2,083.16	$2,428.00	$3,289.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $64.13 / $246.31 / $415.55	Professional		$64.13	$246.31	$415.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $270.24 / $371.57 / $1,333.71	Professional		$270.24	$371.57	$1,333.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $370.33 / $446.27 / $4,933.00	Facility		$370.33	$446.27	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $324.68 / $390.29 / $588.32	Professional		$324.68	$390.29	$588.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $346.13 / $492.63	Professional		$32.30	$346.13	$492.63
United Facility/Professional Facility Modifier Low / Median / High Price $2,388.00 / $5,048.00 / $8,339.00	Facility		$2,388.00	$5,048.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $361.84 / $435.96 / $561.59	Professional		$361.84	$435.96	$561.59