Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $597.72 / $4,112.00 / $6,010.68	Facility		$597.72	$4,112.00	$6,010.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $394.32 / $494.21 / $848.21	Professional		$394.32	$494.21	$848.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $474.75 / $474.75 / $593.44	Professional		$474.75	$474.75	$593.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,527.06 / $4,139.72 / $5,608.68	Facility		$3,527.06	$4,139.72	$5,608.68
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.64 / $488.92 / $782.28	Professional		$115.64	$488.92	$782.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $327.37 / $524.08 / $938.82	Professional		$327.37	$524.08	$938.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $463.91 / $4,112.00 / $5,868.00	Facility		$463.91	$4,112.00	$5,868.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $419.08 / $556.97 / $841.43	Professional		$419.08	$556.97	$841.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $327.21 / $540.75	Professional		$65.66	$327.21	$540.75
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 $463.91 / $557.65 / $767.54	Professional		$463.91	$557.65	$767.54