Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $790.31 / $2,877.00 / $4,933.00	Facility		$790.31	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $512.45 / $630.44 / $820.71	Professional		$512.45	$630.44	$820.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,210.58 / $1,210.58 / $1,210.58	Professional		$1,210.58	$1,210.58	$1,210.58
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $161.10 / $947.66 / $1,634.71	Professional		$161.10	$947.66	$1,634.71
Cigna Facility/Professional Professional Modifier Low / Median / High Price $455.92 / $681.54 / $1,313.91	Professional		$455.92	$681.54	$1,313.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $623.88 / $2,877.00 / $4,933.00	Facility		$623.88	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $590.96 / $679.60 / $945.21	Professional		$590.96	$679.60	$945.21
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $413.70 / $710.79	Professional		$68.50	$413.70	$710.79
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $612.40 / $730.07 / $1,001.55	Professional		$612.40	$730.07	$1,001.55