Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $257.00 / $1,497.97 / $4,216.21	Facility		$257.00	$1,497.97	$4,216.21
Aetna Facility/Professional Professional Modifier Low / Median / High Price $71.53 / $202.16 / $549.96	Professional		$71.53	$202.16	$549.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $304.82 / $304.82 / $304.82	Professional		$304.82	$304.82	$304.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,934.50 / $2,258.15 / $3,076.21	Facility		$1,934.50	$2,258.15	$3,076.21
BCBS Facility/Professional Professional Modifier Low / Median / High Price $19.30 / $113.54 / $283.83	Professional		$19.30	$113.54	$283.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $262.92 / $690.93	Professional		$82.60	$262.92	$690.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $257.00 / $1,305.15 / $4,216.21	Facility		$257.00	$1,305.15	$4,216.21
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $91.57 / $436.48 / $648.78	Professional		$91.57	$436.48	$648.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $299.14 / $375.06 / $536.38	Professional		$299.14	$375.06	$536.38
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,428.00 / $2,029.00	Facility		$464.00	$1,428.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $489.60 / $617.96 / $856.75	Professional		$489.60	$617.96	$856.75