Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $620.00 / $898.00 / $4,933.00	Facility		$620.00	$898.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $516.49 / $673.82 / $1,140.96	Professional		$516.49	$673.82	$1,140.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $227.39 / $371.49 / $495.32	Professional		$227.39	$371.49	$495.32
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,734.38 / $5,556.77 / $7,528.54	Facility		$4,734.38	$5,556.77	$7,528.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $140.60 / $887.99 / $1,234.65	Professional		$140.60	$887.99	$1,234.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $472.25 / $712.99 / $1,259.44	Professional		$472.25	$712.99	$1,259.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $611.91 / $898.00 / $4,933.00	Facility		$611.91	$898.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $604.39 / $775.20 / $1,180.39	Professional		$604.39	$775.20	$1,180.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.50 / $488.22 / $800.14	Professional		$68.50	$488.22	$800.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $727.49 / $898.16 / $1,213.56	Professional		$727.49	$898.16	$1,213.56