Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $441.40 / $1,873.92 / $4,933.00	Facility		$441.40	$1,873.92	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $319.35 / $455.54 / $623.41	Professional		$319.35	$455.54	$623.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $355.21 / $685.15 / $685.15	Professional		$355.21	$685.15	$685.15
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 $93.77 / $530.35 / $898.95	Professional		$93.77	$530.35	$898.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $333.71 / $484.99 / $852.77	Professional		$333.71	$484.99	$852.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $496.13 / $4,112.00 / $4,933.00	Facility		$496.13	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $353.73 / $496.13 / $720.38	Professional		$353.73	$496.13	$720.38
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $318.31 / $529.49	Professional		$68.34	$318.31	$529.49
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $469.86 / $575.79 / $808.93	Professional		$469.86	$575.79	$808.93