Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $213.57 / $2,877.00 / $6,917.52	Facility		$213.57	$2,877.00	$6,917.52
Aetna Facility/Professional Professional Modifier Low / Median / High Price $148.61 / $213.57 / $282.26	Professional		$148.61	$213.57	$282.26
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $89.05 / $89.05 / $89.05	Professional		$89.05	$89.05	$89.05
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,750.60 / $2,040.39 / $2,764.40	Facility		$1,750.60	$2,040.39	$2,764.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $44.27 / $181.05 / $351.59	Professional		$44.27	$181.05	$351.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $160.00 / $219.62 / $355.25	Professional		$160.00	$219.62	$355.25
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $184.43 / $2,877.00 / $4,933.00	Facility		$184.43	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $184.43 / $213.57 / $323.02	Professional		$184.43	$213.57	$323.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $148.69 / $188.13 / $278.36	Professional		$148.69	$188.13	$278.36
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 $201.71 / $240.58 / $327.10	Professional		$201.71	$240.58	$327.10