Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $52.94 / $2,195.89 / $4,933.00	Facility		$52.94	$2,195.89	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $38.39 / $133.32 / $414.90	Professional		$38.39	$133.32	$414.90
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $35.84 / $35.84 / $35.84	Professional		$35.84	$35.84	$35.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,883.46 / $2,198.57 / $2,995.05	Facility		$1,883.46	$2,198.57	$2,995.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $10.50 / $117.32 / $148.19	Professional		$10.50	$117.32	$148.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $45.29 / $208.01 / $547.51	Professional		$45.29	$208.01	$547.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $362.57 / $2,254.12 / $4,933.00	Facility		$362.57	$2,254.12	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $50.42 / $345.41 / $488.85	Professional		$50.42	$345.41	$488.85
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.45 / $305.56 / $439.73	Professional		$244.45	$305.56	$439.73
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 $404.82 / $479.84 / $649.85	Professional		$404.82	$479.84	$649.85