Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $886.32 / $1,122.79 / $4,933.00	Facility		$886.32	$1,122.79	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $728.23 / $886.32 / $1,394.58	Professional		$728.23	$886.32	$1,394.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $773.39 / $773.39 / $930.30	Professional		$773.39	$773.39	$930.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,852.42 / $2,159.06 / $2,925.19	Facility		$1,852.42	$2,159.06	$2,925.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $195.22 / $681.83 / $1,228.73	Professional		$195.22	$681.83	$1,228.73
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.04 / $945.04 / $3,221.33	Professional		$646.04	$945.04	$3,221.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $902.27 / $1,347.35 / $5,828.97	Facility		$902.27	$1,347.35	$5,828.97
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $803.10 / $959.14 / $1,394.58	Professional		$803.10	$959.14	$1,394.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $649.36 / $1,044.95	Professional		$102.24	$649.36	$1,044.95
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $3,640.00 / $6,740.00	Facility		$1,527.00	$3,640.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $856.51 / $1,068.04 / $1,399.51	Professional		$856.51	$1,068.04	$1,399.51