Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $476.48 / $701.11 / $6,999.28	Facility		$476.48	$701.11	$6,999.28
Aetna Facility/Professional Professional Modifier Low / Median / High Price $324.04 / $476.48 / $701.11	Professional		$324.04	$476.48	$701.11
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $375.74 / $375.74 / $375.74	Professional		$375.74	$375.74	$375.74
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 $106.07 / $558.23 / $931.38	Professional		$106.07	$558.23	$931.38
Cigna Facility/Professional Professional Modifier Low / Median / High Price $353.85 / $543.09 / $966.85	Professional		$353.85	$543.09	$966.85
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $476.48 / $701.11 / $6,999.28	Facility		$476.48	$701.11	$6,999.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $415.31 / $528.32 / $875.66	Professional		$415.31	$528.32	$875.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $361.58 / $628.49	Professional		$68.44	$361.58	$628.49
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 $527.37 / $639.08 / $891.48	Professional		$527.37	$639.08	$891.48