Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.51 / $2,877.00 / $7,059.12	Facility		$237.51	$2,877.00	$7,059.12
Aetna Facility/Professional Professional Modifier Low / Median / High Price $228.71 / $355.41 / $575.80	Professional		$228.71	$355.41	$575.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.19 / $181.39 / $258.77	Professional		$85.19	$181.39	$258.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,280.86 / $3,850.76 / $5,217.17	Facility		$3,280.86	$3,850.76	$5,217.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.44 / $265.43 / $457.86	Professional		$50.44	$265.43	$457.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $178.36 / $427.08 / $727.54	Professional		$178.36	$427.08	$727.54
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $299.26 / $2,877.00 / $6,847.05	Facility		$299.26	$2,877.00	$6,847.05
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $237.50 / $387.96 / $737.77	Professional		$237.50	$387.96	$737.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.85 / $306.35 / $434.77	Professional		$245.85	$306.35	$434.77
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 $416.63 / $632.23 / $775.67	Professional		$416.63	$632.23	$775.67