Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,256.63 / $4,112.00 / $4,933.00	Facility		$1,256.63	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $871.19 / $1,256.63 / $1,370.20	Professional		$871.19	$1,256.63	$1,370.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,874.01 / $1,874.01 / $1,874.01	Professional		$1,874.01	$1,874.01	$1,874.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,157.49 / $3,705.97 / $5,021.00	Facility		$3,157.49	$3,705.97	$5,021.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $281.58 / $1,407.89 / $2,556.44	Professional		$281.58	$1,407.89	$2,556.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.65 / $1,073.55 / $2,117.88	Professional		$720.65	$1,073.55	$2,117.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $965.77 / $4,112.00 / $4,933.00	Facility		$965.77	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $965.12 / $1,077.03 / $1,560.33	Professional		$965.12	$1,077.03	$1,560.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $689.01 / $1,125.12	Professional		$102.96	$689.01	$1,125.12
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $942.42 / $1,105.53 / $1,495.18	Professional		$942.42	$1,105.53	$1,495.18