Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $689.31 / $4,112.00 / $4,933.00	Facility		$689.31	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $434.97 / $546.79 / $946.43	Professional		$434.97	$546.79	$946.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $760.66 / $760.66 / $760.66	Professional		$760.66	$760.66	$760.66
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 $139.86 / $822.67 / $1,372.58	Professional		$139.86	$822.67	$1,372.58
Cigna Facility/Professional Professional Modifier Low / Median / High Price $399.58 / $588.20 / $1,185.24	Professional		$399.58	$588.20	$1,185.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $494.25 / $4,112.00 / $4,933.00	Facility		$494.25	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $494.25 / $568.38 / $931.78	Professional		$494.25	$568.38	$931.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $378.80 / $637.91	Professional		$33.96	$378.80	$637.91
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 $497.19 / $586.52 / $787.56	Professional		$497.19	$586.52	$787.56