Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.29 / $4,112.00 / $5,536.32	Facility		$573.29	$4,112.00	$5,536.32
Aetna Facility/Professional Professional Modifier Low / Median / High Price $384.79 / $465.74 / $848.02	Professional		$384.79	$465.74	$848.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $575.35 / $575.35 / $690.42	Professional		$575.35	$575.35	$690.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,068.66 / $2,428.00 / $3,289.55	Facility		$2,068.66	$2,428.00	$3,289.55
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.62 / $729.66 / $1,156.39	Professional		$120.62	$729.66	$1,156.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $334.53 / $544.67 / $973.01	Professional		$334.53	$544.67	$973.01
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $473.53 / $4,112.00 / $5,536.32	Facility		$473.53	$4,112.00	$5,536.32
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $425.42 / $520.88 / $848.02	Professional		$425.42	$520.88	$848.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $373.95 / $565.60	Professional		$65.56	$373.95	$565.60
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 $456.31 / $555.80 / $753.85	Professional		$456.31	$555.80	$753.85