Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $470.55 / $904.51 / $4,933.00	Facility		$470.55	$904.51	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.34 / $552.28 / $867.60	Professional		$361.34	$552.28	$867.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $619.41 / $619.41 / $619.41	Professional		$619.41	$619.41	$619.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,068.66 / $2,428.00 / $3,289.55	Facility		$2,068.66	$2,428.00	$3,289.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $104.97 / $493.99 / $1,000.34	Professional		$104.97	$493.99	$1,000.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $378.93 / $579.48 / $996.31	Professional		$378.93	$579.48	$996.31
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $470.55 / $730.79 / $4,933.00	Facility		$470.55	$730.79	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $488.65 / $615.69 / $922.12	Professional		$488.65	$615.69	$922.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $426.02 / $713.91	Professional		$33.96	$426.02	$713.91
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 $545.66 / $653.35 / $910.14	Professional		$545.66	$653.35	$910.14