Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $718.22 / $4,333.80 / $9,986.84	Facility		$718.22	$4,333.80	$9,986.84
Aetna Facility/Professional Professional Modifier Low / Median / High Price $448.87 / $581.41 / $941.12	Professional		$448.87	$581.41	$941.12
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $750.00 / $750.00 / $750.00	Professional		$750.00	$750.00	$750.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,206.54 / $4,910.30 / $6,689.17	Facility		$4,206.54	$4,910.30	$6,689.17
BCBS Facility/Professional Professional Modifier Low / Median / High Price $150.18 / $579.75 / $944.83	Professional		$150.18	$579.75	$944.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $522.76 / $593.33 / $1,200.90	Professional		$522.76	$593.33	$1,200.90
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $524.17 / $4,333.80 / $6,584.39	Facility		$524.17	$4,333.80	$6,584.39
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $524.17 / $664.13 / $1,053.57	Professional		$524.17	$664.13	$1,053.57
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $489.33 / $741.70	Professional		$65.66	$489.33	$741.70
United Facility/Professional Facility Modifier Low / Median / High Price $2,524.00 / $5,819.00 / $8,339.00	Facility		$2,524.00	$5,819.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $563.52 / $669.17 / $919.28	Professional		$563.52	$669.17	$919.28