Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $520.25 / $585.69 / $4,933.00	Facility		$520.25	$585.69	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $354.18 / $443.99 / $652.61	Professional		$354.18	$443.99	$652.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $587.35 / $587.35 / $587.35	Professional		$587.35	$587.35	$587.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,637.13 / $2,218.06	Facility		$1,394.84	$1,637.13	$2,218.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.06 / $629.45 / $1,050.21	Professional		$123.06	$629.45	$1,050.21
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.55 / $467.37 / $860.55	Professional		$329.55	$467.37	$860.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $428.72 / $585.69 / $4,933.00	Facility		$428.72	$585.69	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $395.47 / $493.19 / $706.09	Professional		$395.47	$493.19	$706.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $331.74 / $546.40	Professional		$33.96	$331.74	$546.40
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $423.32 / $494.37 / $687.57	Professional		$423.32	$494.37	$687.57