Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.55 / $637.26 / $5,464.36	Facility		$430.55	$637.26	$5,464.36
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.56 / $441.93 / $773.11	Professional		$293.56	$441.93	$773.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.17 / $167.17 / $334.33	Professional		$167.17	$167.17	$334.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,604.12 / $6,577.59 / $8,911.59	Facility		$5,604.12	$6,577.59	$8,911.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.42 / $497.98 / $859.02	Professional		$91.42	$497.98	$859.02
Cigna Facility/Professional Professional Modifier Low / Median / High Price $317.27 / $482.71 / $863.12	Professional		$317.27	$482.71	$863.12
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $430.55 / $722.46 / $5,124.24	Facility		$430.55	$722.46	$5,124.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $341.71 / $473.03 / $809.23	Professional		$341.71	$473.03	$809.23
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $327.18 / $583.98	Professional		$33.81	$327.18	$583.98
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 $465.06 / $568.09 / $797.43	Professional		$465.06	$568.09	$797.43