Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,101.42 / $4,933.00 / $4,933.00	Facility		$1,101.42	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $713.08 / $917.99 / $1,101.42	Professional		$713.08	$917.99	$1,101.42
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $738.48 / $738.48 / $738.48	Professional		$738.48	$738.48	$738.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,069.77 / $4,538.66 / $6,266.07	Facility		$3,069.77	$4,538.66	$6,266.07
BCBS Facility/Professional Professional Modifier Low / Median / High Price $218.33 / $892.83 / $1,541.16	Professional		$218.33	$892.83	$1,541.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $730.37 / $1,047.17 / $1,986.39	Professional		$730.37	$1,047.17	$1,986.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $874.08 / $4,933.00 / $4,933.00	Facility		$874.08	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $817.97 / $918.93 / $1,344.82	Professional		$817.97	$918.93	$1,344.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.50 / $736.78 / $1,106.41	Professional		$65.50	$736.78	$1,106.41
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 $869.94 / $1,110.58 / $1,403.17	Professional		$869.94	$1,110.58	$1,403.17