Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,377.08 / $4,933.00 / $4,933.00	Facility		$2,377.08	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,712.71 / $2,137.03 / $2,377.08	Professional		$1,712.71	$2,137.03	$2,377.08
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,894.44 / $1,894.44 / $1,894.44	Professional		$1,894.44	$1,894.44	$1,894.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,100.24 / $10,497.72 / $14,071.89	Facility		$7,100.24	$10,497.72	$14,071.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $469.85 / $1,813.75 / $3,074.17	Professional		$469.85	$1,813.75	$3,074.17
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,700.40 / $2,312.31 / $4,549.41	Professional		$1,700.40	$2,312.31	$4,549.41
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,075.88 / $4,933.00 / $4,933.00	Facility		$2,075.88	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,829.29 / $2,075.88 / $2,946.53	Professional		$1,829.29	$2,075.88	$2,946.53
Molina Facility/Professional Professional Modifier Low / Median / High Price $163.47 / $1,581.45 / $2,369.39	Professional		$163.47	$1,581.45	$2,369.39
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 $1,956.42 / $2,509.69 / $3,342.46	Professional		$1,956.42	$2,509.69	$3,342.46