Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $303.04 / $2,676.23 / $4,933.00	Facility		$303.04	$2,676.23	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $214.32 / $386.35 / $2,687.23	Professional		$214.32	$386.35	$2,687.23
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $111.70 / $223.40 / $290.42	Professional		$111.70	$223.40	$290.42
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,339.30 / $6,223.14 / $8,431.37	Facility		$5,339.30	$6,223.14	$8,431.37
BCBS Facility/Professional Professional Modifier Low / Median / High Price $57.42 / $337.79 / $434.30	Professional		$57.42	$337.79	$434.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $209.95 / $448.68 / $3,951.68	Professional		$209.95	$448.68	$3,951.68
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $303.04 / $4,112.00 / $4,933.00	Facility		$303.04	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $291.95 / $2,580.66 / $3,383.89	Professional		$291.95	$2,580.66	$3,383.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,562.89 / $1,933.72 / $2,821.03	Professional		$1,562.89	$1,933.72	$2,821.03
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,192.00 / $14,705.00	Facility		$5,000.00	$10,192.00	$14,705.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,463.28 / $3,438.26 / $4,332.97	Professional		$2,463.28	$3,438.26	$4,332.97