Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $628.13 / $3,848.00 / $4,933.00	Facility		$628.13	$3,848.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $410.52 / $513.25 / $887.39	Professional		$410.52	$513.25	$887.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $500.93 / $651.21 / $668.67	Professional		$500.93	$651.21	$668.67
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,171.53 / $3,722.44 / $5,043.32	Facility		$3,171.53	$3,722.44	$5,043.32
BCBS Facility/Professional Professional Modifier Low / Median / High Price $126.52 / $715.60 / $1,159.28	Professional		$126.52	$715.60	$1,159.28
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.81 / $551.37 / $986.69	Professional		$343.81	$551.37	$986.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $490.35 / $3,848.00 / $6,000.91	Facility		$490.35	$3,848.00	$6,000.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $451.59 / $599.75 / $828.38	Professional		$451.59	$599.75	$828.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $360.50 / $582.57	Professional		$65.56	$360.50	$582.57
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 $475.62 / $583.99 / $796.93	Professional		$475.62	$583.99	$796.93