Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $665.99 / $1,351.66 / $6,906.00	Facility		$665.99	$1,351.66	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $469.97 / $714.24 / $1,302.66	Professional		$469.97	$714.24	$1,302.66
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $518.33 / $518.33 / $518.33	Professional		$518.33	$518.33	$518.33
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,441.13 / $6,386.28 / $8,652.40	Facility		$5,441.13	$6,386.28	$8,652.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $153.87 / $730.91 / $1,327.19	Professional		$153.87	$730.91	$1,327.19
Cigna Facility/Professional Professional Modifier Low / Median / High Price $493.36 / $764.44 / $1,476.47	Professional		$493.36	$764.44	$1,476.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $665.99 / $3,090.00 / $6,906.00	Facility		$665.99	$3,090.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $586.64 / $791.87 / $1,339.83	Professional		$586.64	$791.87	$1,339.83
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.82 / $559.92 / $939.54	Professional		$102.82	$559.92	$939.54
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 $745.74 / $901.48 / $1,377.26	Professional		$745.74	$901.48	$1,377.26