Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $230.38 / $2,056.00 / $4,933.00	Facility		$230.38	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $133.09 / $290.29 / $935.30	Professional		$133.09	$290.29	$935.30
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $154.00 / $658.73 / $856.35	Professional		$154.00	$658.73	$856.35
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,148.83 / $2,534.73 / $3,566.19	Facility		$2,148.83	$2,534.73	$3,566.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $41.82 / $258.30 / $498.15	Professional		$41.82	$258.30	$498.15
Cigna Facility/Professional Facility Modifier Low / Median / High Price $283.56 / $283.56 / $283.56	Facility		$283.56	$283.56	$283.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $161.28 / $533.04 / $1,276.70	Professional		$161.28	$533.04	$1,276.70
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $550.91 / $2,056.00 / $4,933.00	Facility		$550.91	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $139.09 / $550.91 / $945.98	Professional		$139.09	$550.91	$945.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $535.37 / $668.59 / $943.96	Professional		$535.37	$668.59	$943.96
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,941.00 / $6,327.00	Facility		$1,527.00	$4,941.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $659.00 / $813.96 / $1,186.30	Professional		$659.00	$813.96	$1,186.30