Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,021.82 / $4,933.00 / $4,933.00	Facility		$1,021.82	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $719.27 / $1,021.82 / $1,061.13	Professional		$719.27	$1,021.82	$1,061.13
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $74.16 / $74.16 / $74.16	Professional		$74.16	$74.16	$74.16
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,150.65 / $9,566.46 / $12,961.05	Facility		$8,150.65	$9,566.46	$12,961.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $231.43 / $1,266.78 / $2,101.15	Professional		$231.43	$1,266.78	$2,101.15
Cigna Facility/Professional Professional Modifier Low / Median / High Price $587.29 / $931.68 / $1,696.09	Professional		$587.29	$931.68	$1,696.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $808.27 / $1,021.82 / $6,906.00	Facility		$808.27	$1,021.82	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $800.24 / $914.56 / $1,312.64	Professional		$800.24	$914.56	$1,312.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $563.89 / $930.51	Professional		$68.50	$563.89	$930.51
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,032.00 / $12,767.00	Facility		$4,635.00	$10,032.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $797.69 / $943.92 / $1,271.66	Professional		$797.69	$943.92	$1,271.66