Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $673.15 / $1,587.48 / $4,933.00	Facility		$673.15	$1,587.48	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.12 / $673.14 / $1,516.91	Professional		$453.12	$673.14	$1,516.91
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $275.91 / $551.80 / $759.17	Professional		$275.91	$551.80	$759.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,664.48 / $1,953.61 / $2,646.84	Facility		$1,664.48	$1,953.61	$2,646.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $137.57 / $682.79 / $1,310.95	Professional		$137.57	$682.79	$1,310.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $389.82 / $603.03 / $1,126.05	Professional		$389.82	$603.03	$1,126.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $534.87 / $1,587.48 / $4,933.00	Facility		$534.87	$1,587.48	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $503.48 / $615.10 / $1,071.16	Professional		$503.48	$615.10	$1,071.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $382.23 / $619.47	Professional		$68.50	$382.23	$619.47
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 $501.86 / $616.71 / $859.37	Professional		$501.86	$616.71	$859.37