Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $407.17 / $568.03 / $4,933.00	Facility		$407.17	$568.03	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.39 / $396.71 / $708.16	Professional		$285.39	$396.71	$708.16
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $438.21 / $438.21 / $438.21	Professional		$438.21	$438.21	$438.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,258.75 / $3,824.81 / $5,182.01	Facility		$3,258.75	$3,824.81	$5,182.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.94 / $293.19 / $539.47	Professional		$82.94	$293.19	$539.47
Cigna Facility/Professional Professional Modifier Low / Median / High Price $297.77 / $415.38 / $790.47	Professional		$297.77	$415.38	$790.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $407.17 / $715.73 / $4,933.00	Facility		$407.17	$715.73	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $353.26 / $452.12 / $715.73	Professional		$353.26	$452.12	$715.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $319.04 / $511.64	Professional		$33.96	$319.04	$511.64
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $418.21 / $493.50 / $667.46	Professional		$418.21	$493.50	$667.46