Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $351.86 / $2,996.56 / $4,933.00	Facility		$351.86	$2,996.56	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $272.44 / $775.26 / $1,704.21	Professional		$272.44	$775.26	$1,704.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $234.42 / $234.42 / $234.42	Professional		$234.42	$234.42	$234.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,790.59 / $3,332.14 / $4,711.59	Facility		$2,790.59	$3,332.14	$4,711.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.15 / $352.92 / $501.51	Professional		$63.15	$352.92	$501.51
Cigna Facility/Professional Facility Modifier Low / Median / High Price $428.65 / $428.65 / $428.65	Facility		$428.65	$428.65	$428.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $275.55 / $988.41 / $2,589.87	Professional		$275.55	$988.41	$2,589.87
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,439.13 / $2,996.56 / $4,933.00	Facility		$1,439.13	$2,996.56	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $339.30 / $1,439.13 / $2,014.78	Professional		$339.30	$1,439.13	$2,014.78
Molina Facility/Professional Professional Modifier Low / Median / High Price $976.22 / $1,221.14 / $1,725.84	Professional		$976.22	$1,221.14	$1,725.84
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,500.00 / $9,202.00	Facility		$3,296.00	$7,500.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $669.75 / $1,721.90 / $2,548.16	Professional		$669.75	$1,721.90	$2,548.16