Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $755.42 / $2,877.00 / $4,933.00	Facility		$755.42	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $531.79 / $755.42 / $784.47	Professional		$531.79	$755.42	$784.47
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $619.64 / $619.64 / $619.64	Professional		$619.64	$619.64	$619.64
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 $159.62 / $902.84 / $1,506.34	Professional		$159.62	$902.84	$1,506.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $435.43 / $698.59 / $1,256.57	Professional		$435.43	$698.59	$1,256.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $598.58 / $2,877.00 / $4,933.00	Facility		$598.58	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $592.07 / $676.18 / $1,053.38	Professional		$592.07	$676.18	$1,053.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $397.60 / $696.82	Professional		$68.50	$397.60	$696.82
United Facility/Professional Facility Modifier Low / Median / High Price $2,365.17 / $6,978.00 / $9,202.00	Facility		$2,365.17	$6,978.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $593.74 / $720.08 / $944.73	Professional		$593.74	$720.08	$944.73