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 / $6,782.73	Facility		$442.07	$4,112.00	$6,782.73
Aetna Facility/Professional Professional Modifier Low / Median / High Price $322.68 / $401.38 / $483.51	Professional		$322.68	$401.38	$483.51
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $192.39 / $192.39 / $192.39	Professional		$192.39	$192.39	$192.39
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,211.49 / $3,748.78 / $5,106.87	Facility		$3,211.49	$3,748.78	$5,106.87
BCBS Facility/Professional Professional Modifier Low / Median / High Price $105.65 / $530.79 / $642.54	Professional		$105.65	$530.79	$642.54
Cigna Facility/Professional Professional Modifier Low / Median / High Price $332.33 / $406.44 / $762.11	Professional		$332.33	$406.44	$762.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $382.47 / $4,112.00 / $5,799.86	Facility		$382.47	$4,112.00	$5,799.86
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $368.56 / $421.60 / $643.48	Professional		$368.56	$421.60	$643.48
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 $400.69 / $477.01 / $605.88	Professional		$400.69	$477.01	$605.88