Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $430.98 / $5,610.00 / $18,774.80	Facility		$430.98	$5,610.00	$18,774.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.05 / $462.07 / $5,792.18	Professional		$271.05	$462.07	$5,792.18
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $321.72 / $321.72 / $321.72	Professional		$321.72	$321.72	$321.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $13,312.42 / $15,516.09 / $21,021.84	Facility		$13,312.42	$15,516.09	$21,021.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $81.17 / $491.06 / $766.05	Professional		$81.17	$491.06	$766.05
Cigna Facility/Professional Professional Modifier Low / Median / High Price $329.14 / $638.20 / $7,701.44	Professional		$329.14	$638.20	$7,701.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $430.98 / $5,303.72 / $6,853.00	Facility		$430.98	$5,303.72	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $343.07 / $5,303.72 / $6,366.01	Professional		$343.07	$5,303.72	$6,366.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $3,221.86 / $4,003.13 / $5,832.11	Professional		$3,221.86	$4,003.13	$5,832.11
United Facility/Professional Facility Modifier Low / Median / High Price $7,133.00 / $11,464.00 / $15,011.00	Facility		$7,133.00	$11,464.00	$15,011.00
United Facility/Professional Professional Modifier Low / Median / High Price $5,263.68 / $6,964.27 / $9,195.49	Professional		$5,263.68	$6,964.27	$9,195.49