Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $361.27 / $2,877.00 / $4,933.00	Facility		$361.27	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $261.29 / $401.10 / $706.98	Professional		$261.29	$401.10	$706.98
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $416.39 / $416.39 / $416.39	Professional		$416.39	$416.39	$416.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $479.98 / $566.17 / $763.26	Facility		$479.98	$566.17	$763.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.60 / $347.79 / $725.34	Professional		$82.60	$347.79	$725.34
Cigna Facility/Professional Professional Modifier Low / Median / High Price $276.87 / $436.70 / $759.91	Professional		$276.87	$436.70	$759.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $421.17 / $2,877.00 / $4,933.00	Facility		$421.17	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $361.26 / $426.84 / $706.98	Professional		$361.26	$426.84	$706.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $222.19 / $451.94	Professional		$32.13	$222.19	$451.94
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 $421.78 / $502.11 / $705.60	Professional		$421.78	$502.11	$705.60