Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $315.70 / $2,877.00 / $8,566.96	Facility		$315.70	$2,877.00	$8,566.96
Aetna Facility/Professional Professional Modifier Low / Median / High Price $229.90 / $315.70 / $531.96	Professional		$229.90	$315.70	$531.96
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $220.87 / $220.87 / $220.87	Professional		$220.87	$220.87	$220.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,165.09 / $4,861.91 / $6,623.26	Facility		$4,165.09	$4,861.91	$6,623.26
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $2,259.73 / $3,311.63 / $4,490.75	Facility	50	$2,259.73	$3,311.63	$4,490.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $65.44 / $384.94 / $642.25	Professional		$65.44	$384.94	$642.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $263.83 / $355.68 / $619.49	Professional		$263.83	$355.68	$619.49
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $336.45 / $2,877.00 / $11,253.28	Facility		$336.45	$2,877.00	$11,253.28
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $281.27 / $357.87 / $557.33	Professional		$281.27	$357.87	$557.33
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.40 / $283.31 / $429.55	Professional		$32.40	$283.31	$429.55
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $345.91 / $409.02 / $538.36	Professional		$345.91	$409.02	$538.36