Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $270.02 / $1,297.96 / $4,933.00	Facility		$270.02	$1,297.96	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $197.46 / $599.53 / $1,114.50	Professional		$197.46	$599.53	$1,114.50
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $203.79 / $203.79 / $446.93	Professional		$203.79	$203.79	$446.93
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,959.51 / $2,897.13 / $3,999.78	Facility		$1,959.51	$2,897.13	$3,999.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.48 / $196.41 / $323.22	Professional		$56.48	$196.41	$323.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $216.30 / $654.50 / $1,700.73	Professional		$216.30	$654.50	$1,700.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $324.04 / $1,297.96 / $4,933.00	Facility		$324.04	$1,297.96	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $239.59 / $1,030.13 / $1,346.92	Professional		$239.59	$1,030.13	$1,346.92
Molina Facility/Professional Professional Modifier Low / Median / High Price $64.11 / $669.11 / $1,017.65	Professional		$64.11	$669.11	$1,017.65
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $4,857.00 / $6,036.00	Facility		$1,050.00	$4,857.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $937.95 / $1,277.68 / $1,762.32	Professional		$937.95	$1,277.68	$1,762.32