Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $729.94 / $4,112.00 / $4,933.00	Facility		$729.94	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $481.19 / $729.94 / $1,270.03	Professional		$481.19	$729.94	$1,270.03
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $987.80 / $987.80 / $987.80	Professional		$987.80	$987.80	$987.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.99 / $696.78 / $1,453.17	Professional		$153.99	$696.78	$1,453.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $420.44 / $659.33 / $1,213.42	Professional		$420.44	$659.33	$1,213.42
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $573.33 / $4,112.00 / $4,933.00	Facility		$573.33	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $570.04 / $651.48 / $1,014.25	Professional		$570.04	$651.48	$1,014.25
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $397.60 / $655.70	Professional		$68.50	$397.60	$655.70
United Facility/Professional Facility Modifier Low / Median / High Price $1,006.00 / $3,569.00 / $6,327.00	Facility		$1,006.00	$3,569.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $571.10 / $670.92 / $912.24	Professional		$571.10	$670.92	$912.24