Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $191.84 / $2,362.00 / $6,430.79	Facility		$191.84	$2,362.00	$6,430.79
Aetna Facility/Professional Professional Modifier Low / Median / High Price $152.56 / $287.73 / $406.15	Professional		$152.56	$287.73	$406.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $257.00 / $257.00 / $257.00	Professional		$257.00	$257.00	$257.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,765.09 / $3,227.69 / $4,397.00	Facility		$2,765.09	$3,227.69	$4,397.00
BCBS Facility/Professional Professional Modifier Low / Median / High Price $39.97 / $190.77 / $305.20	Professional		$39.97	$190.77	$305.20
Cigna Facility/Professional Professional Modifier Low / Median / High Price $154.63 / $292.73 / $513.76	Professional		$154.63	$292.73	$513.76
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $195.29 / $2,877.00 / $11,129.91	Facility		$195.29	$2,877.00	$11,129.91
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $189.08 / $299.97 / $449.79	Professional		$189.08	$299.97	$449.79
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.38 / $307.42 / $439.24	Professional		$245.38	$307.42	$439.24
United Facility/Professional Facility Modifier Low / Median / High Price $1,527.00 / $4,857.00 / $6,327.00	Facility		$1,527.00	$4,857.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $315.95 / $405.46 / $528.92	Professional		$315.95	$405.46	$528.92