Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $667.23 / $2,056.00 / $4,933.00	Facility		$667.23	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.72 / $536.09 / $835.19	Professional		$468.72	$536.09	$835.19
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $352.59 / $352.59 / $542.44	Professional		$352.59	$352.59	$542.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,228.52 / $3,789.33 / $5,133.93	Facility		$3,228.52	$3,789.33	$5,133.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $149.62 / $791.29 / $1,320.23	Professional		$149.62	$791.29	$1,320.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.61 / $611.70 / $1,109.26	Professional		$383.61	$611.70	$1,109.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $536.79 / $2,056.00 / $4,933.00	Facility		$536.79	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $494.36 / $568.51 / $835.19	Professional		$494.36	$568.51	$835.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.46 / $365.03 / $590.00	Professional		$68.46	$365.03	$590.00
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.65 / $636.70 / $856.12	Professional		$525.65	$636.70	$856.12