Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $245.59 / $651.28 / $4,933.00	Facility		$245.59	$651.28	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $170.12 / $372.36 / $834.36	Professional		$170.12	$372.36	$834.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.88 / $264.88 / $264.88	Professional		$264.88	$264.88	$264.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,188.03 / $1,394.39 / $1,889.18	Facility		$1,188.03	$1,394.39	$1,889.18
BCBS Facility/Professional Professional Modifier Low / Median / High Price $53.74 / $297.00 / $509.14	Professional		$53.74	$297.00	$509.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $180.09 / $344.28 / $709.68	Professional		$180.09	$344.28	$709.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $257.87 / $2,056.00 / $4,933.00	Facility		$257.87	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $236.51 / $421.92 / $706.78	Professional		$236.51	$421.92	$706.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $373.89 / $554.13	Professional		$32.13	$373.89	$554.13
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 $248.59 / $451.58 / $615.22	Professional		$248.59	$451.58	$615.22