Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $499.92 / $726.70 / $4,933.00	Facility		$499.92	$726.70	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $361.11 / $501.07 / $874.58	Professional		$361.11	$501.07	$874.58
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $401.57 / $555.99 / $784.12	Professional		$401.57	$555.99	$784.12
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,068.66 / $2,428.00 / $3,289.55	Facility		$2,068.66	$2,428.00	$3,289.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $111.49 / $589.61 / $972.86	Professional		$111.49	$589.61	$972.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $374.18 / $537.23 / $962.45	Professional		$374.18	$537.23	$962.45
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $499.92 / $2,877.00 / $4,933.00	Facility		$499.92	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $397.71 / $542.54 / $901.48	Professional		$397.71	$542.54	$901.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $378.84 / $617.93	Professional		$68.50	$378.84	$617.93
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 $532.84 / $629.52 / $851.40	Professional		$532.84	$629.52	$851.40