Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,642.14 / $4,933.00 / $4,933.00	Facility		$1,642.14	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,094.82 / $1,343.33 / $1,949.55	Professional		$1,094.82	$1,343.33	$1,949.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $384.97 / $384.97 / $384.97	Professional		$384.97	$384.97	$384.97
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,418.31 / $6,532.48 / $8,756.61	Facility		$4,418.31	$6,532.48	$8,756.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $325.25 / $1,135.99 / $2,142.83	Professional		$325.25	$1,135.99	$2,142.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,110.32 / $1,527.27 / $2,917.46	Professional		$1,110.32	$1,527.27	$2,917.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,234.99 / $4,933.00 / $4,933.00	Facility		$1,234.99	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,218.01 / $1,370.52 / $2,003.31	Professional		$1,218.01	$1,370.52	$2,003.31
Molina Facility/Professional Professional Modifier Low / Median / High Price $101.35 / $963.99 / $1,555.70	Professional		$101.35	$963.99	$1,555.70
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 $1,278.29 / $1,600.21 / $2,069.96	Professional		$1,278.29	$1,600.21	$2,069.96