Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $651.61 / $2,877.00 / $4,933.00	Facility		$651.61	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $443.53 / $556.75 / $676.67	Professional		$443.53	$556.75	$676.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $722.52 / $722.52 / $722.52	Professional		$722.52	$722.52	$722.52
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 $138.58 / $737.53 / $1,295.30	Professional		$138.58	$737.53	$1,295.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $376.14 / $532.91 / $1,085.60	Professional		$376.14	$532.91	$1,085.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $461.97 / $2,877.00 / $4,933.00	Facility		$461.97	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $461.97 / $531.26 / $778.97	Professional		$461.97	$531.26	$778.97
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $349.89 / $576.72	Professional		$68.50	$349.89	$576.72
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 $458.32 / $554.59 / $738.18	Professional		$458.32	$554.59	$738.18