Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $285.17 / $2,056.00 / $4,933.00	Facility		$285.17	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $221.25 / $328.49 / $450.55	Professional		$221.25	$328.49	$450.55
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.23 / $208.23 / $208.23	Professional		$208.23	$208.23	$208.23
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,466.94 / $3,647.37 / $5,035.56	Facility		$2,466.94	$3,647.37	$5,035.56
BCBS Facility/Professional Professional Modifier Low / Median / High Price $58.02 / $205.10 / $393.80	Professional		$58.02	$205.10	$393.80
Cigna Facility/Professional Professional Modifier Low / Median / High Price $224.05 / $393.33 / $718.64	Professional		$224.05	$393.33	$718.64
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $299.42 / $2,056.00 / $4,933.00	Facility		$299.42	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $234.16 / $381.54 / $536.60	Professional		$234.16	$381.54	$536.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $189.65 / $240.09 / $337.72	Professional		$189.65	$240.09	$337.72
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $10,556.00	Facility		$2,500.00	$7,780.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $244.80 / $467.69 / $628.09	Professional		$244.80	$467.69	$628.09