Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $583.40 / $4,933.00 / $6,853.00	Facility		$583.40	$4,933.00	$6,853.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $391.51 / $627.54 / $3,013.64	Professional		$391.51	$627.54	$3,013.64
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $447.81 / $447.81 / $2,092.88	Professional		$447.81	$447.81	$2,092.88
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 $109.63 / $644.89 / $1,305.90	Professional		$109.63	$644.89	$1,305.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $466.56 / $902.67 / $4,088.21	Professional		$466.56	$902.67	$4,088.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,177.08 / $4,933.00 / $6,853.00	Facility		$2,177.08	$4,933.00	$6,853.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $449.82 / $2,177.08 / $3,093.64	Professional		$449.82	$2,177.08	$3,093.64
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,758.71 / $2,170.77 / $3,166.82	Professional		$1,758.71	$2,170.77	$3,166.82
United Facility/Professional Facility Modifier Low / Median / High Price $7,174.00 / $10,983.00 / $14,085.00	Facility		$7,174.00	$10,983.00	$14,085.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,557.60 / $3,048.62 / $4,120.21	Professional		$2,557.60	$3,048.62	$4,120.21