Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $179.31 / $4,112.00 / $4,933.00	Facility		$179.31	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $179.31 / $332.30 / $517.41	Professional		$179.31	$332.30	$517.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $70.75 / $70.75 / $141.49	Professional		$70.75	$70.75	$141.49
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.83 / $157.24 / $361.64	Professional		$39.83	$157.24	$361.64
Cigna Facility/Professional Professional Modifier Low / Median / High Price $140.29 / $388.62 / $684.69	Professional		$140.29	$388.62	$684.69
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $307.73 / $4,112.00 / $4,933.00	Facility		$307.73	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $186.20 / $395.87 / $579.08	Professional		$186.20	$395.87	$579.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $191.16 / $237.96 / $335.10	Professional		$191.16	$237.96	$335.10
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 $414.45 / $553.49 / $708.41	Professional		$414.45	$553.49	$708.41