Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $735.49 / $4,112.00 / $8,624.20	Facility		$735.49	$4,112.00	$8,624.20
Aetna Facility/Professional Professional Modifier Low / Median / High Price $476.56 / $588.74 / $930.61	Professional		$476.56	$588.74	$930.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $822.59 / $822.59 / $822.59	Professional		$822.59	$822.59	$822.59
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.22 / $5,450.96 / $7,385.19	Facility		$4,644.22	$5,450.96	$7,385.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.36 / $703.15 / $1,450.25	Professional		$164.36	$703.15	$1,450.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $423.53 / $671.58 / $1,221.80	Professional		$423.53	$671.58	$1,221.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $580.63 / $4,112.00 / $6,906.00	Facility		$580.63	$4,112.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $548.35 / $638.69 / $970.84	Professional		$548.35	$638.69	$970.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $397.60 / $673.90	Professional		$68.50	$397.60	$673.90
United Facility/Professional Facility Modifier Low / Median / High Price $2,543.19 / $10,032.00 / $12,767.00	Facility		$2,543.19	$10,032.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.64 / $679.46 / $921.39	Professional		$563.64	$679.46	$921.39