Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $126.15 / $295.69 / $6,795.60	Facility		$126.15	$295.69	$6,795.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $120.73 / $218.39 / $358.63	Professional		$120.73	$218.39	$358.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $97.54 / $97.54 / $131.68	Professional		$97.54	$97.54	$131.68
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,405.69 / $3,997.27 / $5,415.67	Facility		$3,405.69	$3,997.27	$5,415.67
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.21 / $89.01 / $163.78	Professional		$24.21	$89.01	$163.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.76 / $187.28 / $365.23	Professional		$93.76	$187.28	$365.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $126.15 / $2,877.00 / $6,531.22	Facility		$126.15	$2,877.00	$6,531.22
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $126.15 / $258.80 / $374.89	Professional		$126.15	$258.80	$374.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $190.70 / $236.99 / $335.79	Professional		$190.70	$236.99	$335.79
United Facility/Professional Facility Modifier Low / Median / High Price $1,006.00 / $3,569.00 / $6,327.00	Facility		$1,006.00	$3,569.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.02 / $292.92 / $407.15	Professional		$239.02	$292.92	$407.15