Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $175.78 / $1,837.48 / $5,966.47	Facility		$175.78	$1,837.48	$5,966.47
Aetna Facility/Professional Professional Modifier Low / Median / High Price $122.40 / $221.70 / $399.31	Professional		$122.40	$221.70	$399.31
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $119.80 / $132.31 / $143.53	Professional		$119.80	$132.31	$143.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,414.30 / $3,569.55 / $4,784.89	Facility		$2,414.30	$3,569.55	$4,784.89
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.54 / $146.41 / $261.44	Professional		$39.54	$146.41	$261.44
Cigna Facility/Professional Professional Modifier Low / Median / High Price $141.33 / $260.29 / $581.20	Professional		$141.33	$260.29	$581.20
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $184.56 / $2,056.00 / $5,824.35	Facility		$184.56	$2,056.00	$5,824.35
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $146.94 / $270.08 / $453.93	Professional		$146.94	$270.08	$453.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.56 / $252.26 / $379.58	Professional		$30.56	$252.26	$379.58
United Facility/Professional Facility Modifier Low / Median / High Price $1,999.08 / $5,708.00 / $7,719.51	Facility		$1,999.08	$5,708.00	$7,719.51
United Facility/Professional Professional Modifier Low / Median / High Price $266.80 / $345.65 / $487.06	Professional		$266.80	$345.65	$487.06