Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $345.67 / $1,111.51 / $4,933.00	Facility		$345.67	$1,111.51	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $251.03 / $706.01 / $1,382.77	Professional		$251.03	$706.01	$1,382.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $101.91 / $116.96 / $724.13	Professional		$101.91	$116.96	$724.13
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,500.49 / $6,177.68 / $14,860.79	Facility		$4,500.49	$6,177.68	$14,860.79
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,411.54 / $3,654.78 / $4,818.59	Facility	50	$2,411.54	$3,654.78	$4,818.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.59 / $367.51 / $744.21	Professional		$65.59	$367.51	$744.21
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $589.59 / $589.59 / $1,900.59	Professional	50	$589.59	$589.59	$1,900.59
Cigna Facility/Professional Facility Modifier Low / Median / High Price $424.16 / $424.16 / $424.16	Facility		$424.16	$424.16	$424.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $262.92 / $770.61 / $1,749.17	Professional		$262.92	$770.61	$1,749.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $345.67 / $1,846.31 / $4,933.00	Facility		$345.67	$1,846.31	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $265.48 / $1,023.91 / $1,400.51	Professional		$265.48	$1,023.91	$1,400.51
Molina Facility/Professional Professional Modifier Low / Median / High Price $638.26 / $800.05 / $1,117.04	Professional		$638.26	$800.05	$1,117.04
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 $855.66 / $1,234.06 / $1,948.91	Professional		$855.66	$1,234.06	$1,948.91