Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $769.66 / $878.00 / $4,933.00	Facility		$769.66	$878.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $515.08 / $613.54 / $992.18	Professional		$515.08	$613.54	$992.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $629.49 / $629.49 / $629.49	Professional		$629.49	$629.49	$629.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $163.05 / $662.88 / $1,538.75	Professional		$163.05	$662.88	$1,538.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $444.90 / $698.69 / $1,285.98	Professional		$444.90	$698.69	$1,285.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $608.30 / $799.25 / $6,665.74	Facility		$608.30	$799.25	$6,665.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $574.12 / $660.23 / $998.25	Professional		$574.12	$660.23	$998.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $397.61 / $671.20	Professional		$68.50	$397.61	$671.20
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $6,978.00 / $9,202.00	Facility		$2,500.00	$6,978.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $596.90 / $708.12 / $996.49	Professional		$596.90	$708.12	$996.49