Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,284.82 / $4,933.00 / $4,933.00	Facility		$1,284.82	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $900.28 / $1,179.05 / $1,284.82	Professional		$900.28	$1,179.05	$1,284.82
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,053.80 / $1,053.80 / $1,053.80	Professional		$1,053.80	$1,053.80	$1,053.80
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,651.51 / $5,398.77 / $7,453.54	Facility		$3,651.51	$5,398.77	$7,453.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $256.33 / $942.42 / $1,628.51	Professional		$256.33	$942.42	$1,628.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $868.82 / $1,220.94 / $2,271.98	Professional		$868.82	$1,220.94	$2,271.98
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,026.55 / $4,933.00 / $4,933.00	Facility		$1,026.55	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $996.18 / $1,091.06 / $1,575.42	Professional		$996.18	$1,091.06	$1,575.42
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $862.07 / $1,293.77	Professional		$65.50	$862.07	$1,293.77
United Facility/Professional Facility Modifier Low / Median / High Price $850.00 / $4,645.00 / $6,036.00	Facility		$850.00	$4,645.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,028.42 / $1,289.53 / $1,810.71	Professional		$1,028.42	$1,289.53	$1,810.71