Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.43 / $2,877.00 / $6,906.00	Facility		$265.43	$2,877.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $191.87 / $265.43 / $384.72	Professional		$191.87	$265.43	$384.72
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $118.64 / $118.64 / $271.73	Professional		$118.64	$118.64	$271.73
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,439.09 / $2,847.16 / $3,878.61	Facility		$2,439.09	$2,847.16	$3,878.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.48 / $338.13 / $564.16	Professional		$57.48	$338.13	$564.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $230.33 / $361.88 / $587.41	Professional		$230.33	$361.88	$587.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $334.44 / $2,877.00 / $4,933.00	Facility		$334.44	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $265.43 / $341.55 / $484.74	Professional		$265.43	$341.55	$484.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $283.16 / $429.12	Professional		$32.40	$283.16	$429.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $342.14 / $403.70 / $546.60	Professional		$342.14	$403.70	$546.60