Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $808.94 / $4,933.00 / $6,906.00	Facility		$808.94	$4,933.00	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $637.66 / $700.75 / $808.94	Professional		$637.66	$700.75	$808.94
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $576.92 / $576.92 / $576.92	Professional		$576.92	$576.92	$576.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,172.32 / $3,703.06 / $5,044.58	Facility		$3,172.32	$3,703.06	$5,044.58
BCBS Facility/Professional Professional Modifier Low / Median / High Price $169.40 / $622.77 / $1,024.72	Professional		$169.40	$622.77	$1,024.72
Cigna Facility/Professional Professional Modifier Low / Median / High Price $591.91 / $720.19 / $1,303.92	Professional		$591.91	$720.19	$1,303.92
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $676.37 / $4,933.00 / $6,906.00	Facility		$676.37	$4,933.00	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $651.66 / $721.52 / $1,029.88	Professional		$651.66	$721.52	$1,029.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $551.22 / $817.97	Professional		$65.66	$551.22	$817.97
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $696.68 / $870.58 / $1,061.28	Professional		$696.68	$870.58	$1,061.28