Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $371.64 / $4,112.00 / $4,933.00	Facility		$371.64	$4,112.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $311.43 / $386.69 / $463.92	Professional		$311.43	$386.69	$463.92
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $421.63 / $421.63 / $421.63	Professional		$421.63	$421.63	$421.63
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,203.72 / $4,907.01 / $6,684.69	Facility		$4,203.72	$4,907.01	$6,684.69
BCBS Facility/Professional Professional Modifier Low / Median / High Price $82.33 / $392.86 / $535.45	Professional		$82.33	$392.86	$535.45
Cigna Facility/Professional Professional Modifier Low / Median / High Price $272.74 / $434.16 / $636.73	Professional		$272.74	$434.16	$636.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $394.09 / $4,112.00 / $4,933.00	Facility		$394.09	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $340.55 / $408.34 / $559.08	Professional		$340.55	$408.34	$559.08
Molina Facility/Professional Professional Modifier Low / Median / High Price $273.98 / $345.91 / $491.09	Professional		$273.98	$345.91	$491.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,296.00 / $7,849.00 / $9,202.00	Facility		$3,296.00	$7,849.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $373.56 / $466.86 / $591.42	Professional		$373.56	$466.86	$591.42