Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $615.91 / $1,643.36 / $4,933.00	Facility		$615.91	$1,643.36	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $435.46 / $615.91 / $1,057.75	Professional		$435.46	$615.91	$1,057.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $709.20 / $709.20 / $709.20	Professional		$709.20	$709.20	$709.20
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,851.90 / $3,347.30 / $4,535.05	Facility		$2,851.90	$3,347.30	$4,535.05
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.79 / $514.44 / $1,165.49	Professional		$125.79	$514.44	$1,165.49
Cigna Facility/Professional Professional Modifier Low / Median / High Price $408.97 / $650.63 / $1,161.33	Professional		$408.97	$650.63	$1,161.33
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $615.91 / $1,643.36 / $4,933.00	Facility		$615.91	$1,643.36	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $482.11 / $641.90 / $1,101.29	Professional		$482.11	$641.90	$1,101.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $460.02 / $741.09	Professional		$68.56	$460.02	$741.09
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,574.00 / $8,339.00	Facility		$1,450.00	$5,574.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $543.36 / $744.47 / $1,070.21	Professional		$543.36	$744.47	$1,070.21