Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $406.88 / $4,112.00 / $7,375.62	Facility		$406.88	$4,112.00	$7,375.62
Aetna Facility/Professional Professional Modifier Low / Median / High Price $281.95 / $419.75 / $653.02	Professional		$281.95	$419.75	$653.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $278.10 / $278.10 / $278.10	Professional		$278.10	$278.10	$278.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,001.73 / $4,438.07 / $6,127.19	Facility		$3,001.73	$4,438.07	$6,127.19
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.63 / $337.89 / $656.14	Professional		$82.63	$337.89	$656.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $310.18 / $476.40 / $998.44	Professional		$310.18	$476.40	$998.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $456.27 / $4,112.00 / $5,322.50	Facility		$456.27	$4,112.00	$5,322.50
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $314.11 / $456.27 / $746.48	Professional		$314.11	$456.27	$746.48
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $407.64 / $612.07	Professional		$32.30	$407.64	$612.07
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,819.00 / $7,355.00	Facility		$1,450.00	$5,819.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $465.19 / $589.22 / $761.89	Professional		$465.19	$589.22	$761.89