Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $163.21 / $2,056.00 / $8,349.31	Facility		$163.21	$2,056.00	$8,349.31
Aetna Facility/Professional Professional Modifier Low / Median / High Price $113.86 / $156.69 / $255.43	Professional		$113.86	$156.69	$255.43
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.30 / $189.30 / $189.30	Professional		$189.30	$189.30	$189.30
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,492.57 / $2,909.58 / $3,963.65	Facility		$2,492.57	$2,909.58	$3,963.65
BCBS Facility/Professional Professional Modifier Low / Median / High Price $27.20 / $136.04 / $206.25	Professional		$27.20	$136.04	$206.25
Cigna Facility/Professional Professional Modifier Low / Median / High Price $122.08 / $172.48 / $288.27	Professional		$122.08	$172.48	$288.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $134.44 / $2,056.00 / $8,349.31	Facility		$134.44	$2,056.00	$8,349.31
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $134.44 / $174.15 / $266.67	Professional		$134.44	$174.15	$266.67
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.06 / $172.30 / $251.21	Professional		$123.06	$172.30	$251.21
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 $145.91 / $177.72 / $290.26	Professional		$145.91	$177.72	$290.26