Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $463.88 / $673.44 / $4,933.00	Facility		$463.88	$673.44	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $329.62 / $464.41 / $673.44	Professional		$329.62	$464.41	$673.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $369.34 / $369.34 / $369.34	Professional		$369.34	$369.34	$369.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,321.01 / $1,550.48 / $2,100.65	Facility		$1,321.01	$1,550.48	$2,100.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.97 / $525.12 / $912.07	Professional		$93.97	$525.12	$912.07
Cigna Facility/Professional Professional Modifier Low / Median / High Price $354.97 / $523.51 / $931.55	Professional		$354.97	$523.51	$931.55
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $481.73 / $673.44 / $4,933.00	Facility		$481.73	$673.44	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $398.43 / $526.88 / $743.18	Professional		$398.43	$526.88	$743.18
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.35 / $328.83 / $583.69	Professional		$68.35	$328.83	$583.69
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $525.80 / $626.03 / $866.20	Professional		$525.80	$626.03	$866.20