Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $508.16 / $1,590.66 / $14,208.50	Facility		$508.16	$1,590.66	$14,208.50
Aetna Facility/Professional Professional Modifier Low / Median / High Price $341.38 / $517.86 / $966.55	Professional		$341.38	$517.86	$966.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $198.49 / $281.74 / $396.98	Professional		$198.49	$281.74	$396.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,457.29 / $5,231.55 / $7,087.91	Facility		$4,457.29	$5,231.55	$7,087.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.48 / $537.37 / $1,019.66	Professional		$100.48	$537.37	$1,019.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $373.43 / $543.71 / $1,011.35	Professional		$373.43	$543.71	$1,011.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $508.16 / $1,270.58 / $7,968.00	Facility		$508.16	$1,270.58	$7,968.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $382.44 / $569.64 / $934.11	Professional		$382.44	$569.64	$934.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $392.07 / $654.77	Professional		$68.44	$392.07	$654.77
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 $533.66 / $650.23 / $921.15	Professional		$533.66	$650.23	$921.15