Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,288.73 / $4,933.00 / $4,933.00	Facility		$2,288.73	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,550.89 / $2,133.19 / $2,523.92	Professional		$1,550.89	$2,133.19	$2,523.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,182.91 / $1,182.91 / $1,182.91	Professional		$1,182.91	$1,182.91	$1,182.91
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,235.95 / $9,599.29 / $13,005.51	Facility		$8,235.95	$9,599.29	$13,005.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $447.35 / $1,644.66 / $2,814.39	Professional		$447.35	$1,644.66	$2,814.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,528.74 / $2,439.64 / $2,916.05	Professional		$1,528.74	$2,439.64	$2,916.05
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,895.88 / $4,933.00 / $4,933.00	Facility		$1,895.88	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,819.86 / $2,090.00 / $2,990.59	Professional		$1,819.86	$2,090.00	$2,990.59
Molina Facility/Professional Professional Modifier Low / Median / High Price $134.14 / $1,345.61 / $2,108.00	Professional		$134.14	$1,345.61	$2,108.00
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,740.00	Facility		$1,906.00	$4,645.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,958.24 / $2,360.88 / $2,990.18	Professional		$1,958.24	$2,360.88	$2,990.18