Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $334.25 / $2,877.00 / $4,933.00	Facility		$334.25	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $181.46 / $348.18 / $480.54	Professional		$181.46	$348.18	$480.54
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $377.10 / $377.10 / $377.10	Professional		$377.10	$377.10	$377.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,362.23 / $3,924.73 / $5,346.57	Facility		$3,362.23	$3,924.73	$5,346.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $76.16 / $309.60 / $516.90	Professional		$76.16	$309.60	$516.90
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.64 / $436.65 / $811.27	Professional		$272.64	$436.65	$811.27
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $354.44 / $2,877.00 / $4,933.00	Facility		$354.44	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $277.48 / $426.03 / $593.39	Professional		$277.48	$426.03	$593.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $327.65 / $404.80 / $573.09	Professional		$327.65	$404.80	$573.09
United Facility/Professional Facility Modifier Low / Median / High Price $773.00 / $3,005.00 / $4,504.00	Facility		$773.00	$3,005.00	$4,504.00
United Facility/Professional Professional Modifier Low / Median / High Price $396.10 / $514.87 / $678.74	Professional		$396.10	$514.87	$678.74