Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $493.74 / $4,112.00 / $6,621.64	Facility		$493.74	$4,112.00	$6,621.64
Aetna Facility/Professional Professional Modifier Low / Median / High Price $336.67 / $477.51 / $742.69	Professional		$336.67	$477.51	$742.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $388.38 / $388.38 / $553.41	Professional		$388.38	$388.38	$553.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,018.53 / $2,369.16 / $3,209.83	Facility		$2,018.53	$2,369.16	$3,209.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $103.38 / $608.07 / $1,036.92	Professional		$103.38	$608.07	$1,036.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $366.33 / $510.11 / $952.07	Professional		$366.33	$510.11	$952.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $493.74 / $3,848.00 / $6,906.00	Facility		$493.74	$3,848.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $414.86 / $525.27 / $862.62	Professional		$414.86	$525.27	$862.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $336.24 / $618.87	Professional		$33.81	$336.24	$618.87
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 $465.66 / $602.62 / $851.85	Professional		$465.66	$602.62	$851.85