Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,938.55 / $4,933.00 / $4,933.00	Facility		$1,938.55	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,334.66 / $1,804.43 / $2,172.75	Professional		$1,334.66	$1,804.43	$2,172.75
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $770.98 / $770.98 / $770.98	Professional		$770.98	$770.98	$770.98
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,984.05 / $8,146.67 / $11,461.76	Facility		$6,984.05	$8,146.67	$11,461.76
BCBS Facility/Professional Professional Modifier Low / Median / High Price $385.16 / $2,049.87 / $3,398.46	Professional		$385.16	$2,049.87	$3,398.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,302.22 / $2,220.42 / $2,484.11	Professional		$1,302.22	$2,220.42	$2,484.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,604.57 / $4,933.00 / $4,933.00	Facility		$1,604.57	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,541.96 / $1,731.53 / $2,754.08	Professional		$1,541.96	$1,731.53	$2,754.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.24 / $1,160.40 / $1,821.42	Professional		$102.24	$1,160.40	$1,821.42
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 $1,672.10 / $2,073.23 / $2,803.31	Professional		$1,672.10	$2,073.23	$2,803.31