Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $489.03 / $1,289.52 / $4,933.00	Facility		$489.03	$1,289.52	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.51 / $489.03 / $614.94	Professional		$355.51	$489.03	$614.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $201.91 / $201.91 / $201.91	Professional		$201.91	$201.91	$201.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,637.13 / $2,218.06	Facility		$1,394.84	$1,637.13	$2,218.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $106.23 / $502.11 / $992.88	Professional		$106.23	$502.11	$992.88
Cigna Facility/Professional Professional Modifier Low / Median / High Price $309.12 / $441.75 / $814.93	Professional		$309.12	$441.75	$814.93
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $399.58 / $1,289.52 / $4,933.00	Facility		$399.58	$1,289.52	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $399.58 / $476.83 / $684.76	Professional		$399.58	$476.83	$684.76
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $290.46 / $488.03	Professional		$33.96	$290.46	$488.03
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $378.72 / $462.88 / $663.92	Professional		$378.72	$462.88	$663.92