Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $393.03 / $620.00 / $4,933.00	Facility		$393.03	$620.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.83 / $427.88 / $619.38	Professional		$275.83	$427.88	$619.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $479.16 / $479.16 / $479.16	Professional		$479.16	$479.16	$479.16
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 $85.34 / $476.86 / $805.66	Professional		$85.34	$476.86	$805.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.70 / $485.38 / $1,378.31	Professional		$317.70	$485.38	$1,378.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $486.58 / $2,740.00 / $4,933.00	Facility		$486.58	$2,740.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $393.03 / $491.86 / $684.51	Professional		$393.03	$491.86	$684.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $361.14 / $572.22	Professional		$33.88	$361.14	$572.22
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 $464.05 / $555.08 / $719.64	Professional		$464.05	$555.08	$719.64