Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $197.18 / $2,877.00 / $5,886.88	Facility		$197.18	$2,877.00	$5,886.88
Aetna Facility/Professional Professional Modifier Low / Median / High Price $155.80 / $265.24 / $427.88	Professional		$155.80	$265.24	$427.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $166.57 / $166.57 / $400.22	Professional		$166.57	$166.57	$400.22
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,083.53 / $4,766.71 / $6,493.57	Facility		$4,083.53	$4,766.71	$6,493.57
BCBS Facility/Professional Professional Modifier Low / Median / High Price $40.72 / $179.64 / $266.43	Professional		$40.72	$179.64	$266.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $163.56 / $286.14 / $501.51	Professional		$163.56	$286.14	$501.51
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $200.72 / $2,877.00 / $5,052.96	Facility		$200.72	$2,877.00	$5,052.96
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $189.28 / $308.17 / $491.62	Professional		$189.28	$308.17	$491.62
Molina Facility/Professional Professional Modifier Low / Median / High Price $245.38 / $307.42 / $439.24	Professional		$245.38	$307.42	$439.24
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 $321.26 / $380.35 / $487.58	Professional		$321.26	$380.35	$487.58