Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $510.49 / $2,056.00 / $4,933.00	Facility		$510.49	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $355.18 / $422.83 / $529.39	Professional		$355.18	$422.83	$529.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $260.07 / $260.07 / $260.07	Professional		$260.07	$260.07	$260.07
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,282.84 / $4,991.80 / $6,763.10	Facility		$4,282.84	$4,991.80	$6,763.10
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,307.44 / $3,381.55 / $4,347.54	Facility	50	$2,307.44	$3,381.55	$4,347.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $100.62 / $761.01 / $940.52	Professional		$100.62	$761.01	$940.52
Cigna Facility/Professional Professional Modifier Low / Median / High Price $346.04 / $574.85 / $714.44	Professional		$346.04	$574.85	$714.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $425.88 / $2,056.00 / $4,933.00	Facility		$425.88	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $380.18 / $473.42 / $593.99	Professional		$380.18	$473.42	$593.99
Molina Facility/Professional Professional Modifier Low / Median / High Price $311.98 / $379.68 / $549.39	Professional		$311.98	$379.68	$549.39
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 $445.42 / $566.58 / $782.43	Professional		$445.42	$566.58	$782.43