Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $542.16 / $2,454.67 / $4,933.00	Facility		$542.16	$2,454.67	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $372.32 / $538.47 / $779.94	Professional		$372.32	$538.47	$779.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $410.05 / $580.72 / $603.05	Professional		$410.05	$580.72	$603.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,091.52 / $3,092.31 / $4,145.16	Facility		$2,091.52	$3,092.31	$4,145.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $123.58 / $430.87 / $747.93	Professional		$123.58	$430.87	$747.93
Cigna Facility/Professional Professional Modifier Low / Median / High Price $391.37 / $577.90 / $1,156.17	Professional		$391.37	$577.90	$1,156.17
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $530.13 / $2,470.64 / $4,933.00	Facility		$530.13	$2,470.64	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $433.14 / $569.26 / $881.84	Professional		$433.14	$569.26	$881.84
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.92 / $416.34 / $657.44	Professional		$33.92	$416.34	$657.44
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 $527.07 / $685.81 / $908.30	Professional		$527.07	$685.81	$908.30