Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $454.28 / $2,142.30 / $4,933.00	Facility		$454.28	$2,142.30	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $317.13 / $459.73 / $714.95	Professional		$317.13	$459.73	$714.95
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $307.88 / $611.44 / $611.44	Professional		$307.88	$611.44	$611.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,854.07 / $4,219.75 / $5,825.78	Facility		$2,854.07	$4,219.75	$5,825.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $91.35 / $352.62 / $597.66	Professional		$91.35	$352.62	$597.66
Cigna Facility/Professional Professional Modifier Low / Median / High Price $355.25 / $534.55 / $1,092.75	Professional		$355.25	$534.55	$1,092.75
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $454.28 / $2,142.30 / $4,933.00	Facility		$454.28	$2,142.30	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $373.07 / $503.73 / $802.36	Professional		$373.07	$503.73	$802.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.30 / $445.28 / $669.35	Professional		$32.30	$445.28	$669.35
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 $516.92 / $651.19 / $943.21	Professional		$516.92	$651.19	$943.21