Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.57 / $4,112.00 / $4,933.00	Facility		$441.57	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $338.37 / $517.90 / $708.09	Professional		$338.37	$517.90	$708.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,253.54 / $1,253.54 / $1,253.54	Professional		$1,253.54	$1,253.54	$1,253.54
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,413.41 / $2,832.64 / $3,837.78	Facility		$2,413.41	$2,832.64	$3,837.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.99 / $431.93 / $854.12	Professional		$93.99	$431.93	$854.12
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.50 / $503.26 / $916.46	Professional		$262.50	$503.26	$916.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $646.02 / $4,112.00 / $5,756.00	Facility		$646.02	$4,112.00	$5,756.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $351.23 / $646.02 / $807.52	Professional		$351.23	$646.02	$807.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $273.98 / $345.35 / $490.24	Professional		$273.98	$345.35	$490.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $370.97 / $648.29 / $834.77	Professional		$370.97	$648.29	$834.77