Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $237.01 / $4,112.00 / $4,933.00	Facility		$237.01	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $160.60 / $1,717.94 / $2,214.21	Professional		$160.60	$1,717.94	$2,214.21
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,410.80 / $1,528.26 / $1,528.26	Professional		$1,410.80	$1,528.26	$1,528.26
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,292.77 / $6,802.78 / $14,910.03	Facility		$3,292.77	$6,802.78	$14,910.03
BCBS Facility/Professional Professional Modifier Low / Median / High Price $49.95 / $281.20 / $532.44	Professional		$49.95	$281.20	$532.44
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $421.82 / $485.09 / $3,781.20	Professional	50	$421.82	$485.09	$3,781.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $187.06 / $358.69 / $2,998.58	Professional		$187.06	$358.69	$2,998.58
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $309.69 / $4,112.00 / $4,933.00	Facility		$309.69	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $237.00 / $2,029.71 / $2,461.53	Professional		$237.00	$2,029.71	$2,461.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,319.70 / $1,632.71 / $2,381.86	Professional		$1,319.70	$1,632.71	$2,381.86
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $14,705.00	Facility		$5,000.00	$10,192.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,050.10 / $2,673.08 / $3,441.16	Professional		$2,050.10	$2,673.08	$3,441.16