Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.18 / $2,877.00 / $4,933.00	Facility		$179.18	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $104.59 / $351.55 / $651.85	Professional		$104.59	$351.55	$651.85
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $61.78 / $61.78 / $61.78	Professional		$61.78	$61.78	$61.78
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,090.03 / $2,453.08 / $3,323.54	Facility		$2,090.03	$2,453.08	$3,323.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $36.42 / $182.13 / $307.72	Professional		$36.42	$182.13	$307.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $114.32 / $265.39 / $749.16	Professional		$114.32	$265.39	$749.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $569.72 / $3,035.24 / $4,933.00	Facility		$569.72	$3,035.24	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $139.49 / $478.67 / $704.63	Professional		$139.49	$478.67	$704.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $272.03 / $338.73 / $484.01	Professional		$272.03	$338.73	$484.01
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 $430.19 / $656.82 / $897.88	Professional		$430.19	$656.82	$897.88