Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,566.90 / $4,112.00 / $4,933.00	Facility		$1,566.90	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,051.57 / $1,323.68 / $2,483.44	Professional		$1,051.57	$1,323.68	$2,483.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,733.81 / $1,733.81 / $1,747.01	Professional		$1,733.81	$1,733.81	$1,747.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,824.17 / $14,616.12 / $34,324.01	Facility		$10,824.17	$14,616.12	$34,324.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $316.10 / $1,690.42 / $2,928.66	Professional		$316.10	$1,690.42	$2,928.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $898.26 / $1,389.47 / $2,594.65	Professional		$898.26	$1,389.47	$2,594.65
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,252.21 / $4,112.00 / $4,933.00	Facility		$1,252.21	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,224.67 / $1,399.63 / $2,077.73	Professional		$1,224.67	$1,399.63	$2,077.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.33 / $827.86 / $1,404.87	Professional		$137.33	$827.86	$1,404.87
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 $1,249.27 / $1,472.44 / $2,014.29	Professional		$1,249.27	$1,472.44	$2,014.29