Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $182.54 / $1,838.67 / $5,124.41	Facility		$182.54	$1,838.67	$5,124.41
Aetna Facility/Professional Professional Modifier Low / Median / High Price $131.91 / $485.76 / $971.07	Professional		$131.91	$485.76	$971.07
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $125.19 / $136.01 / $183.61	Professional		$125.19	$136.01	$183.61
BCBS Facility/Professional Facility Modifier Low / Median / High Price $928.80 / $1,373.24 / $1,840.78	Facility		$928.80	$1,373.24	$1,840.78
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.86 / $130.72 / $223.09	Professional		$33.86	$130.72	$223.09
Cigna Facility/Professional Professional Modifier Low / Median / High Price $144.90 / $531.80 / $1,572.36	Professional		$144.90	$531.80	$1,572.36
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $880.34 / $1,838.67 / $5,124.41	Facility		$880.34	$1,838.67	$5,124.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $173.85 / $880.34 / $1,269.11	Professional		$173.85	$880.34	$1,269.11
Molina Facility/Professional Professional Modifier Low / Median / High Price $594.68 / $741.80 / $1,070.08	Professional		$594.68	$741.80	$1,070.08
United Facility/Professional Facility Modifier Low / Median / High Price $885.82 / $3,523.00 / $6,029.00	Facility		$885.82	$3,523.00	$6,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $870.50 / $1,135.44 / $1,817.06	Professional		$870.50	$1,135.44	$1,817.06