Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $662.24 / $4,112.00 / $4,933.00	Facility		$662.24	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $441.14 / $520.27 / $848.98	Professional		$441.14	$520.27	$848.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $494.05 / $494.05 / $746.61	Professional		$494.05	$494.05	$746.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,859.80 / $2,182.86 / $2,957.43	Facility		$1,859.80	$2,182.86	$2,957.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $135.44 / $828.64 / $1,278.81	Professional		$135.44	$828.64	$1,278.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $383.92 / $598.19 / $1,106.81	Professional		$383.92	$598.19	$1,106.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $520.95 / $4,112.00 / $4,933.00	Facility		$520.95	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $481.80 / $569.64 / $848.98	Professional		$481.80	$569.64	$848.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $363.97 / $590.86	Professional		$68.50	$363.97	$590.86
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 $509.03 / $607.44 / $835.23	Professional		$509.03	$607.44	$835.23