Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $587.54 / $4,112.00 / $5,854.09	Facility		$587.54	$4,112.00	$5,854.09
Aetna Facility/Professional Professional Modifier Low / Median / High Price $379.91 / $449.83 / $740.49	Professional		$379.91	$449.83	$740.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $604.04 / $604.04 / $604.04	Professional		$604.04	$604.04	$604.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,801.67 / $2,114.63 / $2,864.99	Facility		$1,801.67	$2,114.63	$2,864.99
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $759.40 / $1,157.23	Professional		$129.72	$759.40	$1,157.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.97 / $513.67 / $948.90	Professional		$328.97	$513.67	$948.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $447.19 / $3,782.00 / $5,854.09	Facility		$447.19	$3,782.00	$5,854.09
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $424.03 / $508.83 / $740.49	Professional		$424.03	$508.83	$740.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $320.70 / $511.60	Professional		$68.50	$320.70	$511.60
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 $440.94 / $523.29 / $716.76	Professional		$440.94	$523.29	$716.76