Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $866.91 / $4,933.00 / $4,933.00	Facility		$866.91	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $618.29 / $775.41 / $873.52	Professional		$618.29	$775.41	$873.52
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $589.41 / $589.41 / $589.41	Professional		$589.41	$589.41	$589.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,010.96 / $7,408.71 / $9,931.17	Facility		$5,010.96	$7,408.71	$9,931.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.27 / $273.62 / $1,165.40	Professional		$172.27	$273.62	$1,165.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $646.00 / $883.63 / $1,601.35	Professional		$646.00	$883.63	$1,601.35
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $682.92 / $4,933.00 / $4,933.00	Facility		$682.92	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $663.60 / $682.92 / $961.84	Professional		$663.60	$682.92	$961.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $552.43 / $844.36	Professional		$65.50	$552.43	$844.36
United Facility/Professional Facility Modifier Low / Median / High Price $4,635.00 / $10,192.00 / $12,767.00	Facility		$4,635.00	$10,192.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.27 / $907.03 / $1,283.00	Professional		$703.27	$907.03	$1,283.00