Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $491.78 / $4,112.00 / $4,933.00	Facility		$491.78	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $356.13 / $390.38 / $510.70	Professional		$356.13	$390.38	$510.70
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $195.85 / $195.85 / $195.85	Professional		$195.85	$195.85	$195.85
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,313.97 / $6,237.04 / $8,450.20	Facility		$5,313.97	$6,237.04	$8,450.20
BCBS Facility/Professional Professional Modifier Low / Median / High Price $99.73 / $627.40 / $1,011.92	Professional		$99.73	$627.40	$1,011.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $292.52 / $503.98 / $848.24	Professional		$292.52	$503.98	$848.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $397.36 / $4,112.00 / $4,933.00	Facility		$397.36	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $365.34 / $437.09 / $637.84	Professional		$365.34	$437.09	$637.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $53.55 / $279.20 / $486.10	Professional		$53.55	$279.20	$486.10
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $397.36 / $499.74 / $680.69	Professional		$397.36	$499.74	$680.69