Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $573.03 / $2,877.00 / $6,797.47	Facility		$573.03	$2,877.00	$6,797.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $301.70 / $1,167.54 / $2,469.73	Professional		$301.70	$1,167.54	$2,469.73
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $136.26 / $178.48 / $240.94	Professional		$136.26	$178.48	$240.94
BCBS Facility/Professional Facility Modifier Low / Median / High Price $8,827.39 / $12,117.08 / $29,148.36	Facility		$8,827.39	$12,117.08	$29,148.36
BCBS Facility/Professional Professional Modifier Low / Median / High Price $89.68 / $521.30 / $893.68	Professional		$89.68	$521.30	$893.68
Cigna Facility/Professional Facility Modifier Low / Median / High Price $569.66 / $569.66 / $569.66	Facility		$569.66	$569.66	$569.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $322.30 / $1,219.83 / $3,748.58	Professional		$322.30	$1,219.83	$3,748.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,370.00 / $2,963.68 / $6,797.47	Facility		$1,370.00	$2,963.68	$6,797.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $347.56 / $2,048.71 / $2,963.68	Professional		$347.56	$2,048.71	$2,963.68
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,423.66 / $1,787.88 / $2,513.01	Professional		$1,423.66	$1,787.88	$2,513.01
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,438.00 / $2,029.00	Facility		$464.00	$1,438.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $504.76 / $2,483.07 / $3,430.24	Professional		$504.76	$2,483.07	$3,430.24