Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,756.75 / $4,112.00 / $5,756.00	Facility		$1,756.75	$4,112.00	$5,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,179.97 / $1,447.45 / $2,197.33	Professional		$1,179.97	$1,447.45	$2,197.33
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,954.90 / $1,954.90 / $1,954.90	Professional		$1,954.90	$1,954.90	$1,954.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $17,159.73 / $20,140.48 / $27,287.14	Facility		$17,159.73	$20,140.48	$27,287.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $353.44 / $1,975.13 / $3,368.11	Professional		$353.44	$1,975.13	$3,368.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,004.50 / $1,575.23 / $2,905.66	Professional		$1,004.50	$1,575.23	$2,905.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,417.24 / $4,112.00 / $5,756.00	Facility		$1,417.24	$4,112.00	$5,756.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,332.69 / $1,567.60 / $2,295.58	Professional		$1,332.69	$1,567.60	$2,295.58
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $941.88 / $1,589.76	Professional		$137.33	$941.88	$1,589.76
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 $1,389.27 / $1,677.74 / $2,269.08	Professional		$1,389.27	$1,677.74	$2,269.08