Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $741.81 / $4,933.00 / $4,933.00	Facility		$741.81	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.91 / $646.77 / $770.34	Professional		$516.91	$646.77	$770.34
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $407.86 / $407.86 / $407.86	Professional		$407.86	$407.86	$407.86
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,088.07 / $4,798.18 / $6,500.78	Facility		$4,088.07	$4,798.18	$6,500.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $168.43 / $709.13 / $1,462.58	Professional		$168.43	$709.13	$1,462.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $428.37 / $618.83 / $1,245.60	Professional		$428.37	$618.83	$1,245.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $566.49 / $741.81 / $6,906.00	Facility		$566.49	$741.81	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $566.49 / $634.22 / $924.47	Professional		$566.49	$634.22	$924.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $397.60 / $655.70	Professional		$68.50	$397.60	$655.70
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $553.00 / $654.07 / $935.17	Professional		$553.00	$654.07	$935.17