Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.74 / $520.03 / $4,029.00	Facility		$342.74	$520.03	$4,029.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $236.11 / $342.74 / $621.67	Professional		$236.11	$342.74	$621.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $264.97 / $264.97 / $264.97	Professional		$264.97	$264.97	$264.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,725.00 / $3,198.34 / $4,333.25	Facility		$2,725.00	$3,198.34	$4,333.25
BCBS Facility/Professional Professional Modifier Low / Median / High Price $74.86 / $376.10 / $641.36	Professional		$74.86	$376.10	$641.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $253.68 / $377.57 / $685.64	Professional		$253.68	$377.57	$685.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $342.74 / $520.03 / $4,933.00	Facility		$342.74	$520.03	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $268.50 / $383.54 / $633.23	Professional		$268.50	$383.54	$633.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $252.94 / $419.21	Professional		$33.77	$252.94	$419.21
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,260.00 / $6,327.00	Facility		$1,050.00	$3,260.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $352.22 / $445.32 / $651.04	Professional		$352.22	$445.32	$651.04