Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $421.64 / $2,877.00 / $4,933.00	Facility		$421.64	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $293.98 / $407.46 / $492.04	Professional		$293.98	$407.46	$492.04
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.99 / $234.99 / $234.99	Professional		$234.99	$234.99	$234.99
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,394.84 / $1,637.13 / $2,218.06	Facility		$1,394.84	$1,637.13	$2,218.06
BCBS Facility/Professional Professional Modifier Low / Median / High Price $87.37 / $513.91 / $886.50	Professional		$87.37	$513.91	$886.50
Cigna Facility/Professional Professional Modifier Low / Median / High Price $277.60 / $384.69 / $678.33	Professional		$277.60	$384.69	$678.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $292.29 / $2,877.00 / $4,933.00	Facility		$292.29	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $292.29 / $390.22 / $576.71	Professional		$292.29	$390.22	$576.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.88 / $244.88 / $455.11	Professional		$33.88	$244.88	$455.11
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,640.00 / $6,327.00	Facility		$1,050.00	$3,640.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $331.93 / $393.53 / $520.04	Professional		$331.93	$393.53	$520.04