Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.89 / $4,112.00 / $4,933.00	Facility		$334.89	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $334.89 / $497.61 / $687.27	Professional		$334.89	$497.61	$687.27
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $261.58 / $296.36 / $376.51	Professional		$261.58	$296.36	$376.51
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 $75.06 / $383.94 / $640.59	Professional		$75.06	$383.94	$640.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $257.35 / $664.93 / $988.21	Professional		$257.35	$664.93	$988.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $480.57 / $4,112.00 / $4,933.00	Facility		$480.57	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $345.84 / $547.37 / $922.55	Professional		$345.84	$547.37	$922.55
Molina Facility/Professional Professional Modifier Low / Median / High Price $296.93 / $377.25 / $536.67	Professional		$296.93	$377.25	$536.67
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 $620.57 / $819.11 / $1,022.18	Professional		$620.57	$819.11	$1,022.18