Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $736.75 / $4,112.00 / $4,933.00	Facility		$736.75	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $491.91 / $586.84 / $765.09	Professional		$491.91	$586.84	$765.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $417.79 / $1,137.36 / $1,137.36	Professional		$417.79	$1,137.36	$1,137.36
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.37 / $595.44 / $979.43	Professional		$151.37	$595.44	$979.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $429.28 / $673.32 / $1,238.11	Professional		$429.28	$673.32	$1,238.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $586.15 / $4,112.00 / $4,933.00	Facility		$586.15	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $551.94 / $634.73 / $942.38	Professional		$551.94	$634.73	$942.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $428.75 / $698.85	Professional		$68.50	$428.75	$698.85
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,806.00 / $8,339.00	Facility		$1,450.00	$5,806.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $576.66 / $681.10 / $936.51	Professional		$576.66	$681.10	$936.51