Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $762.75 / $4,315.77 / $10,335.42	Facility		$762.75	$4,315.77	$10,335.42
Aetna Facility/Professional Professional Modifier Low / Median / High Price $557.37 / $762.75 / $1,260.73	Professional		$557.37	$762.75	$1,260.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $269.80 / $539.60 / $542.35	Professional		$269.80	$539.60	$542.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,563.44 / $8,877.25 / $12,027.26	Facility		$7,563.44	$8,877.25	$12,027.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $148.15 / $871.47 / $1,398.70	Professional		$148.15	$871.47	$1,398.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $546.54 / $796.03 / $1,404.16	Professional		$546.54	$796.03	$1,404.16
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $762.75 / $4,538.00 / $15,854.24	Facility		$762.75	$4,538.00	$15,854.24
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $647.26 / $829.23 / $1,296.94	Professional		$647.26	$829.23	$1,296.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.56 / $531.60 / $895.96	Professional		$68.56	$531.60	$895.96
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $825.22 / $972.63 / $1,383.41	Professional		$825.22	$972.63	$1,383.41