Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $426.28 / $2,877.00 / $4,933.00	Facility		$426.28	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.89 / $426.80 / $804.52	Professional		$298.89	$426.80	$804.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $250.00 / $250.00 / $250.00	Professional		$250.00	$250.00	$250.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,730.86 / $4,378.93 / $5,932.76	Facility		$3,730.86	$4,378.93	$5,932.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.02 / $444.97 / $593.29	Professional		$98.02	$444.97	$593.29
Cigna Facility/Professional Professional Modifier Low / Median / High Price $318.33 / $458.21 / $865.68	Professional		$318.33	$458.21	$865.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $450.64 / $2,877.00 / $4,933.00	Facility		$450.64	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $341.97 / $490.81 / $806.68	Professional		$341.97	$490.81	$806.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $348.08 / $575.07	Professional		$33.96	$348.08	$575.07
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 $436.21 / $533.15 / $725.19	Professional		$436.21	$533.15	$725.19