Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $200.23 / $987.44 / $4,933.00	Facility		$200.23	$987.44	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.92 / $210.24 / $783.69	Professional		$113.92	$210.24	$783.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $509.23 / $509.23 / $550.41	Professional		$509.23	$509.23	$550.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,373.35 / $3,931.76 / $5,326.91	Facility		$3,373.35	$3,931.76	$5,326.91
BCBS Facility/Professional Professional Modifier Low / Median / High Price $38.22 / $406.86 / $578.16	Professional		$38.22	$406.86	$578.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $138.50 / $296.39 / $1,063.07	Professional		$138.50	$296.39	$1,063.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $252.28 / $2,056.00 / $4,933.00	Facility		$252.28	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $146.12 / $697.48 / $879.09	Professional		$146.12	$697.48	$879.09
Molina Facility/Professional Professional Modifier Low / Median / High Price $441.04 / $548.99 / $783.28	Professional		$441.04	$548.99	$783.28
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,418.00 / $2,449.00	Facility		$464.00	$1,418.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $732.62 / $913.36 / $1,153.74	Professional		$732.62	$913.36	$1,153.74