Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $909.45 / $4,112.00 / $14,547.55	Facility		$909.45	$4,112.00	$14,547.55
Aetna Facility/Professional Professional Modifier Low / Median / High Price $615.29 / $730.08 / $909.45	Professional		$615.29	$730.08	$909.45
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $694.26 / $694.26 / $1,478.17	Professional		$694.26	$694.26	$1,478.17
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,829.57 / $6,794.57 / $9,205.56	Facility		$5,829.57	$6,794.57	$9,205.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $183.65 / $1,033.78 / $1,522.37	Professional		$183.65	$1,033.78	$1,522.37
Cigna Facility/Professional Professional Modifier Low / Median / High Price $519.61 / $846.05 / $1,150.88	Professional		$519.61	$846.05	$1,150.88
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $761.78 / $4,112.00 / $11,380.45	Facility		$761.78	$4,112.00	$11,380.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $652.23 / $761.78 / $1,205.93	Professional		$652.23	$761.78	$1,205.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.63 / $600.49 / $896.51	Professional		$49.63	$600.49	$896.51
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 $695.16 / $927.28 / $1,177.55	Professional		$695.16	$927.28	$1,177.55