Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $211.26 / $2,116.53 / $4,933.00	Facility		$211.26	$2,116.53	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.43 / $1,426.84 / $1,909.68	Professional		$142.43	$1,426.84	$1,909.68
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,240.25 / $1,240.25 / $1,240.25	Professional		$1,240.25	$1,240.25	$1,240.25
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,575.20 / $2,110.39 / $3,264.97	Facility		$1,575.20	$2,110.39	$3,264.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.72 / $238.07 / $450.77	Professional		$39.72	$238.07	$450.77
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $357.11 / $3,066.98 / $3,066.98	Professional	50	$357.11	$3,066.98	$3,066.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $158.66 / $308.74 / $2,577.29	Professional		$158.66	$308.74	$2,577.29
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $266.18 / $2,343.17 / $4,933.00	Facility		$266.18	$2,343.17	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $203.72 / $1,594.38 / $2,090.71	Professional		$203.72	$1,594.38	$2,090.71
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,072.91 / $1,327.14 / $1,938.77	Professional		$1,072.91	$1,327.14	$1,938.77
United Facility/Professional Facility Modifier Low / Median / High Price $1,069.00 / $3,523.00 / $6,327.00	Facility		$1,069.00	$3,523.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,678.94 / $2,110.77 / $2,767.82	Professional		$1,678.94	$2,110.77	$2,767.82