Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $565.77 / $699.72 / $4,933.00	Facility		$565.77	$699.72	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $377.68 / $442.43 / $756.14	Professional		$377.68	$442.43	$756.14
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $607.35 / $607.35 / $607.35	Professional		$607.35	$607.35	$607.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,902.27 / $2,232.69 / $3,024.95	Facility		$1,902.27	$2,232.69	$3,024.95
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.74 / $486.29 / $1,021.20	Professional		$115.74	$486.29	$1,021.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $312.50 / $498.24 / $896.41	Professional		$312.50	$498.24	$896.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $441.84 / $699.72 / $4,933.00	Facility		$441.84	$699.72	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $406.67 / $488.00 / $756.14	Professional		$406.67	$488.00	$756.14
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $341.57 / $521.25	Professional		$65.56	$341.57	$521.25
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 $433.23 / $530.52 / $724.05	Professional		$433.23	$530.52	$724.05