Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $538.91 / $4,112.00 / $10,683.04	Facility		$538.91	$4,112.00	$10,683.04
Aetna Facility/Professional Professional Modifier Low / Median / High Price $368.44 / $470.60 / $850.88	Professional		$368.44	$470.60	$850.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $446.16 / $446.16 / $580.01	Professional		$446.16	$446.16	$580.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,142.57 / $3,688.46 / $4,997.27	Facility		$3,142.57	$3,688.46	$4,997.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $113.32 / $608.86 / $1,009.43	Professional		$113.32	$608.86	$1,009.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $307.41 / $489.46 / $882.85	Professional		$307.41	$489.46	$882.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $436.96 / $4,112.00 / $10,683.04	Facility		$436.96	$4,112.00	$10,683.04
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $403.09 / $511.24 / $787.43	Professional		$403.09	$511.24	$787.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $326.49 / $511.03	Professional		$65.66	$326.49	$511.03
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 $427.43 / $520.58 / $688.58	Professional		$427.43	$520.58	$688.58