Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $381.62 / $1,643.49 / $6,737.99	Facility		$381.62	$1,643.49	$6,737.99
Aetna Facility/Professional Professional Modifier Low / Median / High Price $318.22 / $1,046.01 / $1,375.00	Professional		$318.22	$1,046.01	$1,375.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $855.61 / $927.97 / $927.97	Professional		$855.61	$927.97	$927.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,361.53 / $3,917.98 / $5,308.24	Facility		$3,361.53	$3,917.98	$5,308.24
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.40 / $407.35 / $824.89	Professional		$77.40	$407.35	$824.89
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $653.51 / $653.51 / $2,253.69	Professional	50	$653.51	$653.51	$2,253.69
Cigna Facility/Professional Professional Modifier Low / Median / High Price $289.68 / $677.51 / $2,373.06	Professional		$289.68	$677.51	$2,373.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $480.84 / $4,112.00 / $4,933.00	Facility		$480.84	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $367.99 / $1,299.15 / $1,854.52	Professional		$367.99	$1,299.15	$1,854.52
Molina Facility/Professional Professional Modifier Low / Median / High Price $768.65 / $956.13 / $1,398.94	Professional		$768.65	$956.13	$1,398.94
United Facility/Professional Facility Modifier Low / Median / High Price $2,467.09 / $6,978.00 / $9,202.00	Facility		$2,467.09	$6,978.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,205.01 / $1,720.87 / $2,219.94	Professional		$1,205.01	$1,720.87	$2,219.94