Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $154.50 / $2,056.00 / $4,933.00	Facility		$154.50	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $107.60 / $174.66 / $312.63	Professional		$107.60	$174.66	$312.63
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $246.00 / $246.00 / $246.00	Professional		$246.00	$246.00	$246.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,196.91 / $1,769.63 / $2,372.14	Facility		$1,196.91	$1,769.63	$2,372.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $31.32 / $119.76 / $230.31	Professional		$31.32	$119.76	$230.31
Cigna Facility/Professional Professional Modifier Low / Median / High Price $115.85 / $210.57 / $480.43	Professional		$115.85	$210.57	$480.43
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $162.22 / $2,056.00 / $4,933.00	Facility		$162.22	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $130.25 / $202.95 / $348.16	Professional		$130.25	$202.95	$348.16
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.05 / $186.31 / $304.25	Professional		$32.05	$186.31	$304.25
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 $166.12 / $261.32 / $377.65	Professional		$166.12	$261.32	$377.65