Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $422.81 / $2,693.00 / $4,933.00	Facility		$422.81	$2,693.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $298.70 / $461.03 / $867.76	Professional		$298.70	$461.03	$867.76
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $236.37 / $236.37 / $236.37	Professional		$236.37	$236.37	$236.37
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,723.93 / $2,023.39 / $2,741.37	Facility		$1,723.93	$2,023.39	$2,741.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.37 / $505.45 / $834.00	Professional		$89.37	$505.45	$834.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $320.36 / $487.27 / $921.73	Professional		$320.36	$487.27	$921.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $493.43 / $2,854.07 / $4,933.00	Facility		$493.43	$2,854.07	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $416.60 / $535.77 / $876.70	Professional		$416.60	$535.77	$876.70
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $362.99 / $609.20	Professional		$33.96	$362.99	$609.20
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 $403.81 / $563.86 / $786.27	Professional		$403.81	$563.86	$786.27