Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $2,056.00 / $6,356.74	Facility		$122.70	$2,056.00	$6,356.74
Aetna Facility/Professional Professional Modifier Low / Median / High Price $87.58 / $970.49 / $1,591.67	Professional		$87.58	$970.49	$1,591.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $85.14 / $120.59 / $857.88	Professional		$85.14	$120.59	$857.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,828.97 / $7,035.06 / $10,899.10	Facility		$4,828.97	$7,035.06	$10,899.10
BCBS Facility/Professional Professional Modifier Low / Median / High Price $23.19 / $90.36 / $142.97	Professional		$23.19	$90.36	$142.97
Cigna Facility/Professional Facility Modifier Low / Median / High Price $150.18 / $150.18 / $150.18	Facility		$150.18	$150.18	$150.18
Cigna Facility/Professional Facility Modifier 62 Low / Median / High Price $93.86 / $93.86 / $93.86	Facility	62	$93.86	$93.86	$93.86
Cigna Facility/Professional Professional Modifier Low / Median / High Price $93.22 / $647.41 / $2,261.86	Professional		$93.22	$647.41	$2,261.86
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $122.70 / $2,056.00 / $6,356.74	Facility		$122.70	$2,056.00	$6,356.74
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $95.18 / $1,207.32 / $1,591.67	Professional		$95.18	$1,207.32	$1,591.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $697.06 / $861.96 / $1,234.05	Professional		$697.06	$861.96	$1,234.05
United Facility/Professional Facility Modifier Low / Median / High Price $717.00 / $1,507.00 / $1,844.00	Facility		$717.00	$1,507.00	$1,844.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,162.65 / $1,651.90 / $2,218.48	Professional		$1,162.65	$1,651.90	$2,218.48