Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $190.11 / $2,056.00 / $4,933.00	Facility		$190.11	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $142.77 / $201.19 / $268.77	Professional		$142.77	$201.19	$268.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.39 / $208.39 / $208.39	Professional		$208.39	$208.39	$208.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,525.01 / $1,810.76 / $2,487.04	Facility		$1,525.01	$1,810.76	$2,487.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $30.91 / $114.62 / $210.90	Professional		$30.91	$114.62	$210.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $155.34 / $230.31 / $448.80	Professional		$155.34	$230.31	$448.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $206.19 / $2,056.00 / $4,933.00	Facility		$206.19	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $157.94 / $206.19 / $288.93	Professional		$157.94	$206.19	$288.93
Molina Facility/Professional Professional Modifier Low / Median / High Price $144.78 / $207.26 / $299.59	Professional		$144.78	$207.26	$299.59
United Facility/Professional Facility Modifier Low / Median / High Price $645.00 / $3,005.00 / $4,504.00	Facility		$645.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $212.26 / $268.08 / $354.96	Professional		$212.26	$268.08	$354.96