Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,731.36 / $4,933.00 / $4,933.00	Facility		$2,731.36	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,893.50 / $2,545.78 / $2,832.52	Professional		$1,893.50	$2,545.78	$2,832.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,171.57 / $2,171.57 / $2,171.57	Professional		$2,171.57	$2,171.57	$2,171.57
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,825.12 / $11,451.54 / $15,515.01	Facility		$9,825.12	$11,451.54	$15,515.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $573.47 / $2,098.26 / $3,169.17	Professional		$573.47	$2,098.26	$3,169.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,824.23 / $3,061.50 / $3,539.91	Professional		$1,824.23	$3,061.50	$3,539.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,256.36 / $4,933.00 / $4,933.00	Facility		$2,256.36	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,233.04 / $2,330.14 / $3,427.94	Professional		$2,233.04	$2,330.14	$3,427.94
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,813.39 / $2,722.74	Professional		$164.25	$1,813.39	$2,722.74
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 $2,363.25 / $2,870.14 / $3,953.22	Professional		$2,363.25	$2,870.14	$3,953.22