Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $484.88 / $659.92 / $4,933.00	Facility		$484.88	$659.92	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $333.11 / $466.93 / $800.21	Professional		$333.11	$466.93	$800.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $498.25 / $498.25 / $498.25	Professional		$498.25	$498.25	$498.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,300.00 / $3,873.23 / $5,247.60	Facility		$3,300.00	$3,873.23	$5,247.60
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.25 / $555.75 / $916.98	Professional		$98.25	$555.75	$916.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.05 / $489.94 / $912.69	Professional		$343.05	$489.94	$912.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $479.96 / $659.92 / $4,933.00	Facility		$479.96	$659.92	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $389.77 / $509.13 / $819.64	Professional		$389.77	$509.13	$819.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $332.91 / $564.68	Professional		$33.96	$332.91	$564.68
United Facility/Professional Facility Modifier Low / Median / High Price $1,181.08 / $3,260.00 / $6,036.00	Facility		$1,181.08	$3,260.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.80 / $561.66 / $763.98	Professional		$465.80	$561.66	$763.98