Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $204.80 / $2,877.00 / $4,933.00	Facility		$204.80	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $146.86 / $269.47 / $499.84	Professional		$146.86	$269.47	$499.84
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.69 / $189.69 / $189.69	Professional		$189.69	$189.69	$189.69
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,307.00 / $1,534.04 / $2,078.38	Facility		$1,307.00	$1,534.04	$2,078.38
BCBS Facility/Professional Professional Modifier Low / Median / High Price $43.49 / $202.95 / $424.35	Professional		$43.49	$202.95	$424.35
Cigna Facility/Professional Professional Modifier Low / Median / High Price $156.71 / $259.02 / $512.22	Professional		$156.71	$259.02	$512.22
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $223.31 / $2,877.00 / $4,933.00	Facility		$223.31	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $209.58 / $296.66 / $490.50	Professional		$209.58	$296.66	$490.50
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $235.15 / $362.57	Professional		$32.13	$235.15	$362.57
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $279.68 / $336.50 / $455.10	Professional		$279.68	$336.50	$455.10