Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $113.22 / $2,291.37 / $6,853.00	Facility		$113.22	$2,291.37	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $82.80 / $437.74 / $2,402.46	Professional		$82.80	$437.74	$2,402.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $82.93 / $82.93 / $82.93	Professional		$82.93	$82.93	$82.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,936.65 / $3,427.96 / $4,669.82	Facility		$2,936.65	$3,427.96	$4,669.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $22.18 / $88.06 / $139.60	Professional		$22.18	$88.06	$139.60
Cigna Facility/Professional Professional Modifier Low / Median / High Price $78.00 / $1,257.30 / $4,188.06	Professional		$78.00	$1,257.30	$4,188.06
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,035.86 / $4,933.00 / $6,853.00	Facility		$2,035.86	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $106.75 / $2,035.86 / $2,678.77	Professional		$106.75	$2,035.86	$2,678.77
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,717.03 / $2,146.29 / $3,090.65	Professional		$1,717.03	$2,146.29	$3,090.65
United Facility/Professional Facility Modifier Low / Median / High Price $5,565.00 / $8,702.00 / $10,652.00	Facility		$5,565.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,836.28 / $2,498.14 / $3,516.48	Professional		$1,836.28	$2,498.14	$3,516.48