Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.08 / $676.82 / $4,924.89	Facility		$420.08	$676.82	$4,924.89
Aetna Facility/Professional Professional Modifier Low / Median / High Price $289.06 / $453.35 / $716.92	Professional		$289.06	$453.35	$716.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $454.10 / $454.10 / $515.79	Professional		$454.10	$454.10	$515.79
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,591.89 / $3,042.12 / $4,121.59	Facility		$2,591.89	$3,042.12	$4,121.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.25 / $485.54 / $826.06	Professional		$92.25	$485.54	$826.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.35 / $469.89 / $926.30	Professional		$307.35	$469.89	$926.30
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $420.08 / $2,612.21 / $4,933.00	Facility		$420.08	$2,612.21	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $370.69 / $495.62 / $844.23	Professional		$370.69	$495.62	$844.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $348.71 / $596.63	Professional		$33.96	$348.71	$596.63
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 $385.14 / $550.22 / $763.34	Professional		$385.14	$550.22	$763.34