Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $413.82 / $4,112.00 / $6,752.60	Facility		$413.82	$4,112.00	$6,752.60
Aetna Facility/Professional Professional Modifier Low / Median / High Price $306.45 / $973.05 / $1,675.28	Professional		$306.45	$973.05	$1,675.28
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.17 / $447.17 / $447.17	Professional		$447.17	$447.17	$447.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,827.78 / $4,461.42 / $6,044.51	Facility		$3,827.78	$4,461.42	$6,044.51
BCBS Facility/Professional Professional Modifier Low / Median / High Price $92.83 / $482.68 / $730.98	Professional		$92.83	$482.68	$730.98
Cigna Facility/Professional Professional Modifier Low / Median / High Price $328.86 / $631.83 / $2,241.36	Professional		$328.86	$631.83	$2,241.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $450.27 / $4,112.00 / $6,752.60	Facility		$450.27	$4,112.00	$6,752.60
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $413.51 / $1,294.63 / $1,759.04	Professional		$413.51	$1,294.63	$1,759.04
Molina Facility/Professional Professional Modifier Low / Median / High Price $130.68 / $1,016.33 / $1,528.54	Professional		$130.68	$1,016.33	$1,528.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,780.00 / $10,556.00	Facility		$3,296.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,333.80 / $1,677.00 / $2,300.31	Professional		$1,333.80	$1,677.00	$2,300.31