Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $108.46 / $109.37 / $109.37	Facility		$108.46	$109.37	$109.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $74.62 / $100.60 / $148.88	Professional		$74.62	$100.60	$148.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $129.72 / $129.72 / $129.72	Professional		$129.72	$129.72	$129.72
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,138.48 / $2,496.26 / $3,400.59	Facility		$2,138.48	$2,496.26	$3,400.59
BCBS Facility/Professional Professional Modifier Low / Median / High Price $24.03 / $86.81 / $151.22	Professional		$24.03	$86.81	$151.22
Cigna Facility/Professional Professional Modifier Low / Median / High Price $80.95 / $106.16 / $177.71	Professional		$80.95	$106.16	$177.71
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $109.37 / $127.54 / $127.54	Facility		$109.37	$127.54	$127.54
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $89.85 / $127.54 / $165.01	Professional		$89.85	$127.54	$165.01
Molina Facility/Professional Professional Modifier Low / Median / High Price $108.32 / $138.98 / $201.65	Professional		$108.32	$138.98	$201.65
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 $105.41 / $116.53 / $154.72	Professional		$105.41	$116.53	$154.72