Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $801.64 / $4,933.00 / $4,933.00	Facility		$801.64	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $535.26 / $651.75 / $1,586.96	Professional		$535.26	$651.75	$1,586.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $884.98 / $1,234.60 / $1,234.60	Professional		$884.98	$1,234.60	$1,234.60
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,644.22 / $5,450.96 / $7,385.19	Facility		$4,644.22	$5,450.96	$7,385.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $164.23 / $966.08 / $1,666.49	Professional		$164.23	$966.08	$1,666.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.41 / $735.61 / $1,344.34	Professional		$466.41	$735.61	$1,344.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $636.26 / $847.45 / $4,933.00	Facility		$636.26	$847.45	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $599.72 / $699.88 / $1,046.08	Professional		$599.72	$699.88	$1,046.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $428.20 / $714.97	Professional		$68.50	$428.20	$714.97
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $627.04 / $728.86 / $1,022.39	Professional		$627.04	$728.86	$1,022.39