Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $533.77 / $4,112.00 / $5,756.00	Facility		$533.77	$4,112.00	$5,756.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $376.26 / $440.18 / $688.24	Professional		$376.26	$440.18	$688.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $570.29 / $570.29 / $570.29	Professional		$570.29	$570.29	$570.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $129.47 / $647.38 / $1,080.10	Professional		$129.47	$647.38	$1,080.10
Cigna Facility/Professional Professional Modifier Low / Median / High Price $313.45 / $508.17 / $904.28	Professional		$313.45	$508.17	$904.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $440.63 / $4,112.00 / $6,906.00	Facility		$440.63	$4,112.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $402.71 / $483.25 / $728.65	Professional		$402.71	$483.25	$728.65
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $341.57 / $521.25	Professional		$65.66	$341.57	$521.25
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $436.78 / $525.71 / $703.30	Professional		$436.78	$525.71	$703.30