Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $458.29 / $2,886.62 / $5,756.00	Facility		$458.29	$2,886.62	$5,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $299.52 / $395.11 / $790.50	Professional		$299.52	$395.11	$790.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $333.77 / $333.77 / $500.47	Professional		$333.77	$333.77	$500.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,308.30 / $2,709.27 / $3,670.63	Facility		$2,308.30	$2,709.27	$3,670.63
BCBS Facility/Professional Professional Modifier Low / Median / High Price $95.00 / $362.70 / $886.59	Professional		$95.00	$362.70	$886.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $258.29 / $402.14 / $741.47	Professional		$258.29	$402.14	$741.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $428.99 / $3,081.23 / $5,619.89	Facility		$428.99	$3,081.23	$5,619.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $330.90 / $413.62 / $659.33	Professional		$330.90	$413.62	$659.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $236.91 / $436.47	Professional		$33.88	$236.91	$436.47
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $334.75 / $401.48 / $559.29	Professional		$334.75	$401.48	$559.29