Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $310.61 / $576.40 / $4,112.00	Facility		$310.61	$576.40	$4,112.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $278.89 / $440.63 / $605.23	Professional		$278.89	$440.63	$605.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $228.14 / $228.14 / $228.14	Professional		$228.14	$228.14	$228.14
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,756.58 / $2,047.36 / $2,773.84	Facility		$1,756.58	$2,047.36	$2,773.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.91 / $421.44 / $669.56	Professional		$94.91	$421.44	$669.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $348.16 / $530.26 / $1,392.70	Professional		$348.16	$530.26	$1,392.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $391.92 / $586.78 / $4,933.00	Facility		$391.92	$586.78	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $363.83 / $563.25 / $726.27	Professional		$363.83	$563.25	$726.27
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.16 / $428.64 / $619.20	Professional		$65.16	$428.64	$619.20
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $474.74 / $588.73 / $812.92	Professional		$474.74	$588.73	$812.92