Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $358.31 / $2,877.00 / $4,933.00	Facility		$358.31	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $271.50 / $314.33 / $400.49	Professional		$271.50	$314.33	$400.49
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $274.48 / $274.48 / $274.48	Professional		$274.48	$274.48	$274.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,189.36 / $1,412.23 / $1,939.66	Facility		$1,189.36	$1,412.23	$1,939.66
BCBS Facility/Professional Professional Modifier Low / Median / High Price $73.86 / $274.19 / $464.72	Professional		$73.86	$274.19	$464.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $273.64 / $355.70 / $720.19	Professional		$273.64	$355.70	$720.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $317.45 / $2,877.00 / $4,933.00	Facility		$317.45	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $276.24 / $317.45 / $468.45	Professional		$276.24	$317.45	$468.45
Molina Facility/Professional Professional Modifier Low / Median / High Price $244.86 / $311.51 / $441.01	Professional		$244.86	$311.51	$441.01
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $295.93 / $385.50 / $506.43	Professional		$295.93	$385.50	$506.43