Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $314.20 / $1,872.22 / $4,933.00	Facility		$314.20	$1,872.22	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $238.25 / $451.69 / $1,024.39	Professional		$238.25	$451.69	$1,024.39
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $167.12 / $217.97 / $239.53	Professional		$167.12	$217.97	$239.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,081.54 / $1,474.56 / $3,535.72	Facility		$1,081.54	$1,474.56	$3,535.72
BCBS Facility/Professional Professional Modifier Low / Median / High Price $59.01 / $93.70 / $416.51	Professional		$59.01	$93.70	$416.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $239.35 / $678.52 / $1,594.43	Professional		$239.35	$678.52	$1,594.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $210.50 / $2,266.07 / $4,933.00	Facility		$210.50	$2,266.07	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $210.50 / $451.69 / $1,102.20	Professional		$210.50	$451.69	$1,102.20
Molina Facility/Professional Professional Modifier Low / Median / High Price $641.36 / $806.24 / $1,157.03	Professional		$641.36	$806.24	$1,157.03
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 $536.89 / $961.10 / $1,374.67	Professional		$536.89	$961.10	$1,374.67