Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $78.98 / $2,056.00 / $4,933.00	Facility		$78.98	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $55.42 / $168.86 / $299.95	Professional		$55.42	$168.86	$299.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $48.83 / $48.83 / $48.83	Professional		$48.83	$48.83	$48.83
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,281.80 / $1,504.46 / $2,038.30	Facility		$1,281.80	$1,504.46	$2,038.30
BCBS Facility/Professional Professional Modifier Low / Median / High Price $14.47 / $85.15 / $153.28	Professional		$14.47	$85.15	$153.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $54.55 / $152.91 / $357.08	Professional		$54.55	$152.91	$357.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $239.80 / $2,092.17 / $4,933.00	Facility		$239.80	$2,092.17	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $72.43 / $239.80 / $339.56	Professional		$72.43	$239.80	$339.56
Molina Facility/Professional Professional Modifier Low / Median / High Price $162.86 / $202.90 / $290.75	Professional		$162.86	$202.90	$290.75
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $225.40 / $286.18 / $384.93	Professional		$225.40	$286.18	$384.93