Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $599.72 / $4,112.00 / $4,933.00	Facility		$599.72	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $424.04 / $507.59 / $747.73	Professional		$424.04	$507.59	$747.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $224.82 / $224.82 / $224.82	Professional		$224.82	$224.82	$224.82
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 $120.63 / $674.15 / $1,224.10	Professional		$120.63	$674.15	$1,224.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $395.72 / $621.03 / $986.25	Professional		$395.72	$621.03	$986.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $500.02 / $4,112.00 / $4,933.00	Facility		$500.02	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $458.64 / $532.86 / $825.77	Professional		$458.64	$532.86	$825.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $359.43 / $554.09	Professional		$65.56	$359.43	$554.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $475.68 / $605.99 / $1,007.80	Professional		$475.68	$605.99	$1,007.80