Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $250.30 / $6,179.52 / $7,968.52	Facility		$250.30	$6,179.52	$7,968.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.12 / $222.76 / $575.00	Professional		$187.12	$222.76	$575.00
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $178.84 / $178.84 / $178.84	Professional		$178.84	$178.84	$178.84
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,836.51 / $4,478.35 / $6,100.75	Facility		$3,836.51	$4,478.35	$6,100.75
BCBS Facility/Professional Professional Modifier Low / Median / High Price $50.54 / $185.81 / $317.95	Professional		$50.54	$185.81	$317.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $183.37 / $227.05 / $403.00	Professional		$183.37	$227.05	$403.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $254.80 / $6,179.52 / $7,968.52	Facility		$254.80	$6,179.52	$7,968.52
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $195.68 / $250.30 / $576.02	Professional		$195.68	$250.30	$576.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $137.30 / $171.18 / $245.14	Professional		$137.30	$171.18	$245.14
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $5,048.00 / $7,355.00	Facility		$2,248.00	$5,048.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $215.90 / $265.93 / $327.98	Professional		$215.90	$265.93	$327.98