Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $404.97 / $4,933.00 / $16,632.63	Facility		$404.97	$4,933.00	$16,632.63
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.48 / $515.47 / $1,798.38	Professional		$285.48	$515.47	$1,798.38
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $301.45 / $301.45 / $301.45	Professional		$301.45	$301.45	$301.45
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,402.53 / $12,124.52 / $16,426.79	Facility		$10,402.53	$12,124.52	$16,426.79
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.48 / $364.72 / $480.79	Professional		$73.48	$364.72	$480.79
Cigna Facility/Professional Professional Modifier Low / Median / High Price $282.14 / $602.29 / $2,317.09	Professional		$282.14	$602.29	$2,317.09
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $404.97 / $4,933.00 / $6,906.00	Facility		$404.97	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $390.50 / $1,425.71 / $1,888.29	Professional		$390.50	$1,425.71	$1,888.29
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,045.75 / $1,289.06 / $1,885.04	Professional		$1,045.75	$1,289.06	$1,885.04
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 $1,628.32 / $1,946.33 / $2,496.91	Professional		$1,628.32	$1,946.33	$2,496.91