Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $521.92 / $2,877.00 / $4,933.00	Facility		$521.92	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $310.25 / $420.28 / $600.77	Professional		$310.25	$420.28	$600.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $366.78 / $582.53 / $582.53	Professional		$366.78	$582.53	$582.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $913.95 / $1,072.71 / $1,453.35	Facility		$913.95	$1,072.71	$1,453.35
BCBS Facility/Professional Professional Modifier Low / Median / High Price $107.68 / $601.76 / $1,056.85	Professional		$107.68	$601.76	$1,056.85
Cigna Facility/Professional Professional Modifier Low / Median / High Price $337.99 / $465.97 / $830.52	Professional		$337.99	$465.97	$830.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $383.87 / $2,877.00 / $4,933.00	Facility		$383.87	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $357.37 / $463.17 / $739.74	Professional		$357.37	$463.17	$739.74
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $331.74 / $546.40	Professional		$33.96	$331.74	$546.40
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $392.30 / $466.03 / $637.46	Professional		$392.30	$466.03	$637.46