Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $327.31 / $3,121.30 / $4,933.00	Facility		$327.31	$3,121.30	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $226.78 / $408.48 / $633.36	Professional		$226.78	$408.48	$633.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $117.71 / $238.48 / $463.21	Professional		$117.71	$238.48	$463.21
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 $70.40 / $391.54 / $649.42	Professional		$70.40	$391.54	$649.42
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.36 / $399.41 / $786.20	Professional		$239.36	$399.41	$786.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $480.54 / $4,112.00 / $4,933.00	Facility		$480.54	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $263.98 / $480.54 / $734.22	Professional		$263.98	$480.54	$734.22
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.34 / $415.45 / $623.70	Professional		$32.34	$415.45	$623.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $5,202.00 / $7,355.00	Facility		$2,248.00	$5,202.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $466.32 / $556.10 / $760.73	Professional		$466.32	$556.10	$760.73