Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $442.07 / $4,112.00 / $11,909.82	Facility		$442.07	$4,112.00	$11,909.82
Aetna Facility/Professional Professional Modifier Low / Median / High Price $323.00 / $401.38 / $539.15	Professional		$323.00	$401.38	$539.15
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $384.77 / $384.77 / $384.77	Professional		$384.77	$384.77	$384.77
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,425.37 / $5,165.74 / $7,037.16	Facility		$4,425.37	$5,165.74	$7,037.16
BCBS Facility/Professional Professional Modifier Low / Median / High Price $94.99 / $349.21 / $698.43	Professional		$94.99	$349.21	$698.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.99 / $405.35 / $763.47	Professional		$332.99	$405.35	$763.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $382.80 / $4,112.00 / $8,390.45	Facility		$382.80	$4,112.00	$8,390.45
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $368.94 / $421.60 / $654.10	Professional		$368.94	$421.60	$654.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $49.36 / $333.40 / $489.84	Professional		$49.36	$333.40	$489.84
United Facility/Professional Facility Modifier Low / Median / High Price $5,000.00 / $10,359.00 / $12,767.00	Facility		$5,000.00	$10,359.00	$12,767.00
United Facility/Professional Professional Modifier Low / Median / High Price $416.35 / $476.63 / $605.88	Professional		$416.35	$476.63	$605.88