Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Professional Modifier Low / Median / High Price $767.60 / $1,389.80 / $9,174.44	Professional		$767.60	$1,389.80	$9,174.44
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $542.76 / $542.76 / $542.76	Professional		$542.76	$542.76	$542.76
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,617.45 / $5,381.80 / $7,291.49	Facility		$4,617.45	$5,381.80	$7,291.49
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $3,092.77 / $3,645.74 / $4,943.82	Facility	50	$3,092.77	$3,645.74	$4,943.82
BCBS Facility/Professional Professional Modifier Low / Median / High Price $98.79 / $646.40 / $915.30	Professional		$98.79	$646.40	$915.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $792.88 / $792.88 / $5,297.47	Professional		$792.88	$792.88	$5,297.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $549.89 / $3,311.63 / $6,689.44	Facility		$549.89	$3,311.63	$6,689.44
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $530.25 / $3,214.97 / $4,179.46	Professional		$530.25	$3,214.97	$4,179.46
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,943.53 / $2,420.51 / $3,524.10	Professional		$1,943.53	$2,420.51	$3,524.10
United Facility/Professional Professional Modifier Low / Median / High Price $3,111.11 / $4,134.28 / $5,512.89	Professional		$3,111.11	$4,134.28	$5,512.89