Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,000.00 / $4,933.00 / $21,774.58	Facility		$1,000.00	$4,933.00	$21,774.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $715.42 / $970.87 / $1,256.05	Professional		$715.42	$970.87	$1,256.05
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $844.06 / $844.06 / $844.06	Professional		$844.06	$844.06	$844.06
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,636.79 / $13,172.64 / $30,430.61	Facility		$9,636.79	$13,172.64	$30,430.61
BCBS Facility/Professional Professional Modifier Low / Median / High Price $207.16 / $1,157.63 / $1,645.06	Professional		$207.16	$1,157.63	$1,645.06
Cigna Facility/Professional Professional Modifier Low / Median / High Price $720.69 / $942.53 / $1,668.52	Professional		$720.69	$942.53	$1,668.52
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $810.55 / $4,933.00 / $11,931.48	Facility		$810.55	$4,933.00	$11,931.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $810.55 / $844.06 / $1,434.90	Professional		$810.55	$844.06	$1,434.90
Molina Facility/Professional Professional Modifier Low / Median / High Price $98.87 / $662.82 / $1,008.08	Professional		$98.87	$662.82	$1,008.08
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 $919.19 / $1,082.24 / $1,385.86	Professional		$919.19	$1,082.24	$1,385.86