Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $574.52 / $2,877.00 / $4,933.00	Facility		$574.52	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $371.87 / $454.21 / $742.98	Professional		$371.87	$454.21	$742.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $235.17 / $235.17 / $235.17	Professional		$235.17	$235.17	$235.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,743.56 / $2,046.42 / $2,772.58	Facility		$1,743.56	$2,046.42	$2,772.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $122.55 / $741.38 / $1,247.75	Professional		$122.55	$741.38	$1,247.75
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.06 / $514.91 / $962.52	Professional		$334.06	$514.91	$962.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $447.09 / $2,877.00 / $4,933.00	Facility		$447.09	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $417.53 / $495.31 / $745.15	Professional		$417.53	$495.31	$745.15
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $321.19 / $530.76	Professional		$68.50	$321.19	$530.76
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 $443.24 / $522.48 / $714.91	Professional		$443.24	$522.48	$714.91