Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $795.53 / $2,010.28 / $12,966.95	Facility		$795.53	$2,010.28	$12,966.95
Aetna Facility/Professional Professional Modifier Low / Median / High Price $542.34 / $795.53 / $1,436.75	Professional		$542.34	$795.53	$1,436.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $612.10 / $612.10 / $870.34	Professional		$612.10	$612.10	$870.34
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,482.93 / $9,956.46 / $13,489.43	Facility		$8,482.93	$9,956.46	$13,489.43
BCBS Facility/Professional Professional Modifier Low / Median / High Price $154.33 / $765.98 / $1,514.66	Professional		$154.33	$765.98	$1,514.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $583.79 / $898.72 / $1,758.08	Professional		$583.79	$898.72	$1,758.08
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $795.53 / $2,923.62 / $12,966.95	Facility		$795.53	$2,923.62	$12,966.95
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $604.96 / $919.29 / $1,603.67	Professional		$604.96	$919.29	$1,603.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.96 / $683.78 / $1,131.24	Professional		$102.96	$683.78	$1,131.24
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 $897.50 / $1,053.18 / $1,595.71	Professional		$897.50	$1,053.18	$1,595.71