Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $387.69 / $553.15 / $7,212.35	Facility		$387.69	$553.15	$7,212.35
Aetna Facility/Professional Professional Modifier Low / Median / High Price $263.94 / $387.70 / $661.61	Professional		$263.94	$387.70	$661.61
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $299.51 / $299.51 / $299.51	Professional		$299.51	$299.51	$299.51
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,970.53 / $3,486.53 / $4,723.70	Facility		$2,970.53	$3,486.53	$4,723.70
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.19 / $470.59 / $726.05	Professional		$76.19	$470.59	$726.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $286.07 / $431.42 / $765.89	Professional		$286.07	$431.42	$765.89
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $387.69 / $563.10 / $6,906.00	Facility		$387.69	$563.10	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $302.75 / $422.64 / $690.87	Professional		$302.75	$422.64	$690.87
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $265.25 / $473.70	Professional		$33.77	$265.25	$473.70
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 $422.04 / $504.16 / $727.91	Professional		$422.04	$504.16	$727.91