Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $632.59 / $5,757.00 / $11,822.10	Facility		$632.59	$5,757.00	$11,822.10
Aetna Facility/Professional Professional Modifier Low / Median / High Price $473.92 / $5,111.01 / $9,122.20	Professional		$473.92	$5,111.01	$9,122.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $450.15 / $566.50 / $4,666.27	Professional		$450.15	$566.50	$4,666.27
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,151.06 / $8,928.00 / $21,462.85	Facility		$6,151.06	$8,928.00	$21,462.85
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.63 / $567.70 / $816.07	Professional		$120.63	$567.70	$816.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $456.88 / $1,406.07 / $10,236.73	Professional		$456.88	$1,406.07	$10,236.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $643.97 / $6,813.57 / $11,822.10	Facility		$643.97	$6,813.57	$11,822.10
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $609.15 / $6,813.57 / $9,122.20	Professional		$609.15	$6,813.57	$9,122.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $518.17 / $4,440.97 / $6,711.02	Professional		$518.17	$4,440.97	$6,711.02
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $11,152.00 / $19,152.00	Facility		$4,635.00	$11,152.00	$19,152.00
United Facility/Professional Professional Modifier Low / Median / High Price $6,525.85 / $8,524.95 / $11,075.72	Professional		$6,525.85	$8,524.95	$11,075.72