Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $251.59 / $4,112.00 / $4,933.00	Facility		$251.59	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $182.18 / $251.59 / $374.35	Professional		$182.18	$251.59	$374.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $218.29 / $218.29 / $218.29	Professional		$218.29	$218.29	$218.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,767.51 / $4,397.82 / $5,991.04	Facility		$3,767.51	$4,397.82	$5,991.04
BCBS Facility/Professional Professional Modifier Low / Median / High Price $56.52 / $207.81 / $355.61	Professional		$56.52	$207.81	$355.61
Cigna Facility/Professional Professional Modifier Low / Median / High Price $197.30 / $255.04 / $435.81	Professional		$197.30	$255.04	$435.81
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $231.20 / $4,112.00 / $4,933.00	Facility		$231.20	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $230.09 / $275.18 / $431.43	Professional		$230.09	$275.18	$431.43
Molina Facility/Professional Professional Modifier Low / Median / High Price $182.82 / $252.25 / $378.11	Professional		$182.82	$252.25	$378.11
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 $250.39 / $300.23 / $427.30	Professional		$250.39	$300.23	$427.30