Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $322.81 / $1,642.75 / $4,933.00	Facility		$322.81	$1,642.75	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.66 / $696.55 / $1,855.24	Professional		$229.66	$696.55	$1,855.24
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $430.70 / $430.70 / $430.70	Professional		$430.70	$430.70	$430.70
BCBS Facility/Professional Facility Modifier Low / Median / High Price $6,003.42 / $8,163.38 / $19,962.47	Facility		$6,003.42	$8,163.38	$19,962.47
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,239.43 / $4,420.20 / $6,472.81	Facility	50	$3,239.43	$4,420.20	$6,472.81
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.56 / $379.61 / $698.83	Professional		$65.56	$379.61	$698.83
Cigna Facility/Professional Facility Modifier Low / Median / High Price $397.55 / $397.55 / $397.55	Facility		$397.55	$397.55	$397.55
Cigna Facility/Professional Professional Modifier Low / Median / High Price $241.30 / $784.34 / $2,505.23	Professional		$241.30	$784.34	$2,505.23
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $322.81 / $1,642.75 / $4,933.00	Facility		$322.81	$1,642.75	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $241.91 / $1,108.22 / $1,955.49	Professional		$241.91	$1,108.22	$1,955.49
Molina Facility/Professional Professional Modifier Low / Median / High Price $950.04 / $1,188.83 / $1,678.45	Professional		$950.04	$1,188.83	$1,678.45
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 $1,277.74 / $1,653.44 / $2,251.48	Professional		$1,277.74	$1,653.44	$2,251.48