Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $950.64 / $1,251.92 / $6,906.00	Facility		$950.64	$1,251.92	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $778.02 / $950.64 / $1,402.20	Professional		$778.02	$950.64	$1,402.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $422.10 / $422.10 / $422.10	Professional		$422.10	$422.10	$422.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,526.00 / $4,109.68 / $5,567.96	Facility		$3,526.00	$4,109.68	$5,567.96
BCBS Facility/Professional Professional Modifier Low / Median / High Price $217.64 / $823.24 / $1,538.76	Professional		$217.64	$823.24	$1,538.76
Cigna Facility/Professional Professional Modifier Low / Median / High Price $695.76 / $1,023.47 / $3,457.29	Professional		$695.76	$1,023.47	$3,457.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $967.75 / $1,172.53 / $4,933.00	Facility		$967.75	$1,172.53	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $875.13 / $1,025.50 / $1,497.33	Professional		$875.13	$1,025.50	$1,497.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.47 / $682.14 / $1,082.63	Professional		$102.47	$682.14	$1,082.63
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 $921.15 / $1,128.98 / $1,555.55	Professional		$921.15	$1,128.98	$1,555.55