Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,450.50 / $4,933.00 / $4,933.00	Facility		$2,450.50	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,658.91 / $2,269.57 / $2,541.26	Professional		$1,658.91	$2,269.57	$2,541.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,266.92 / $1,266.92 / $1,266.92	Professional		$1,266.92	$1,266.92	$1,266.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,778.23 / $10,231.33 / $13,861.83	Facility		$8,778.23	$10,231.33	$13,861.83
BCBS Facility/Professional Professional Modifier Low / Median / High Price $481.50 / $1,770.25 / $3,029.30	Professional		$481.50	$1,770.25	$3,029.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,643.83 / $2,645.94 / $3,094.58	Professional		$1,643.83	$2,645.94	$3,094.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,022.78 / $4,933.00 / $4,933.00	Facility		$2,022.78	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,950.78 / $2,094.58 / $3,162.12	Professional		$1,950.78	$2,094.58	$3,162.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $133.89 / $1,457.70 / $2,248.08	Professional		$133.89	$1,457.70	$2,248.08
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 $2,114.73 / $2,536.42 / $3,601.41	Professional		$2,114.73	$2,536.42	$3,601.41