Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $654.04 / $4,112.00 / $4,933.00	Facility		$654.04	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $472.74 / $654.04 / $712.56	Professional		$472.74	$654.04	$712.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.18 / $260.18 / $260.18	Professional		$260.18	$260.18	$260.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,871.90 / $3,877.99 / $9,106.93	Facility		$2,871.90	$3,877.99	$9,106.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $132.32 / $739.42 / $1,260.92	Professional		$132.32	$739.42	$1,260.92
Cigna Facility/Professional Professional Modifier Low / Median / High Price $388.90 / $681.49 / $1,124.80	Professional		$388.90	$681.49	$1,124.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $679.21 / $4,112.00 / $4,933.00	Facility		$679.21	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $520.36 / $704.72 / $888.66	Professional		$520.36	$704.72	$888.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.44 / $343.40 / $602.96	Professional		$68.44	$343.40	$602.96
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $550.85 / $780.52 / $1,062.85	Professional		$550.85	$780.52	$1,062.85