Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $443.70 / $1,962.29 / $4,933.00	Facility		$443.70	$1,962.29	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $307.89 / $421.06 / $618.33	Professional		$307.89	$421.06	$618.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $323.20 / $323.20 / $323.20	Professional		$323.20	$323.20	$323.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,712.85 / $3,166.71 / $4,313.93	Facility		$2,712.85	$3,166.71	$4,313.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.35 / $354.49 / $688.41	Professional		$95.35	$354.49	$688.41
Cigna Facility/Professional Professional Modifier Low / Median / High Price $343.15 / $499.23 / $826.03	Professional		$343.15	$499.23	$826.03
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $437.12 / $2,740.00 / $4,933.00	Facility		$437.12	$2,740.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $380.57 / $461.37 / $723.44	Professional		$380.57	$461.37	$723.44
Molina Facility/Professional Professional Modifier Low / Median / High Price $34.22 / $319.66 / $536.66	Professional		$34.22	$319.66	$536.66
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.37 / $558.10 / $761.06	Professional		$481.37	$558.10	$761.06