Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $342.83 / $2,740.00 / $4,933.00	Facility		$342.83	$2,740.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $285.27 / $500.60 / $3,088.97	Professional		$285.27	$500.60	$3,088.97
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $272.43 / $272.43 / $2,070.21	Professional		$272.43	$272.43	$2,070.21
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,028.98 / $1,475.17 / $3,537.19	Facility		$1,028.98	$1,475.17	$3,537.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $67.64 / $378.00 / $497.36	Professional		$67.64	$378.00	$497.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $287.66 / $683.04 / $4,504.60	Professional		$287.66	$683.04	$4,504.60
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $342.83 / $2,877.00 / $4,933.00	Facility		$342.83	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $307.31 / $536.86 / $3,666.12	Professional		$307.31	$536.86	$3,666.12
Molina Facility/Professional Professional Modifier Low / Median / High Price $1,839.98 / $2,345.92 / $3,409.49	Professional		$1,839.98	$2,345.92	$3,409.49
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 $673.78 / $2,692.65 / $4,637.34	Professional		$673.78	$2,692.65	$4,637.34