Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $405.42 / $3,121.30 / $4,933.00	Facility		$405.42	$3,121.30	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $275.01 / $434.39 / $790.51	Professional		$275.01	$434.39	$790.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $212.96 / $212.96 / $450.46	Professional		$212.96	$212.96	$450.46
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,444.48 / $2,869.12 / $3,887.20	Facility		$2,444.48	$2,869.12	$3,887.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $83.20 / $447.06 / $811.78	Professional		$83.20	$447.06	$811.78
Cigna Facility/Professional Professional Modifier Low / Median / High Price $299.85 / $448.74 / $826.86	Professional		$299.85	$448.74	$826.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $412.71 / $3,116.41 / $4,933.00	Facility		$412.71	$3,116.41	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $330.53 / $474.77 / $791.47	Professional		$330.53	$474.77	$791.47
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $294.16 / $516.75	Professional		$33.77	$294.16	$516.75
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 $446.09 / $536.88 / $763.14	Professional		$446.09	$536.88	$763.14