Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $438.87 / $626.40 / $4,933.00	Facility		$438.87	$626.40	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $296.01 / $438.87 / $796.06	Professional		$296.01	$438.87	$796.06
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $244.34 / $244.34 / $341.14	Professional		$244.34	$244.34	$341.14
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 $86.68 / $430.25 / $850.79	Professional		$86.68	$430.25	$850.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $324.52 / $492.12 / $869.57	Professional		$324.52	$492.12	$869.57
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $438.87 / $3,185.63 / $4,933.00	Facility		$438.87	$3,185.63	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $344.33 / $481.20 / $782.36	Professional		$344.33	$481.20	$782.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.81 / $297.62 / $542.99	Professional		$33.81	$297.62	$542.99
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 $461.55 / $564.11 / $808.55	Professional		$461.55	$564.11	$808.55