Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $981.33 / $1,236.47 / $4,933.00	Facility		$981.33	$1,236.47	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $747.71 / $981.33 / $1,383.09	Professional		$747.71	$981.33	$1,383.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $846.08 / $846.08 / $846.08	Professional		$846.08	$846.08	$846.08
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 $216.56 / $1,210.14 / $1,363.00	Professional		$216.56	$1,210.14	$1,363.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $702.08 / $944.08 / $3,585.34	Professional		$702.08	$944.08	$3,585.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $981.33 / $1,236.47 / $4,933.00	Facility		$981.33	$1,236.47	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $833.49 / $1,021.12 / $1,492.68	Professional		$833.49	$1,021.12	$1,492.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $681.00 / $1,108.23	Professional		$102.24	$681.00	$1,108.23
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 $925.70 / $1,129.50 / $1,510.94	Professional		$925.70	$1,129.50	$1,510.94