Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $216.22 / $2,877.00 / $4,933.00	Facility		$216.22	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $154.56 / $379.29 / $796.60	Professional		$154.56	$379.29	$796.60
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.82 / $167.82 / $167.82	Professional		$167.82	$167.82	$167.82
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,276.69 / $3,819.10 / $5,174.27	Facility		$3,276.69	$3,819.10	$5,174.27
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.29 / $253.52 / $640.01	Professional		$40.29	$253.52	$640.01
Cigna Facility/Professional Professional Modifier Low / Median / High Price $169.33 / $323.81 / $1,165.80	Professional		$169.33	$323.81	$1,165.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $609.65 / $2,877.00 / $4,933.00	Facility		$609.65	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $216.22 / $632.23 / $999.73	Professional		$216.22	$632.23	$999.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $384.24 / $477.11 / $701.22	Professional		$384.24	$477.11	$701.22
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 $519.04 / $942.94 / $1,200.02	Professional		$519.04	$942.94	$1,200.02