Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $2,800.00 / $3,000.00	Facility		$2,800.00	$2,800.00	$3,000.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,886.48 / $2,800.00 / $3,885.02	Professional		$1,886.48	$2,800.00	$3,885.02
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,551.74 / $3,551.74 / $3,551.74	Professional		$3,551.74	$3,551.74	$3,551.74
BCBS Facility/Professional Facility Modifier Low / Median / High Price $10,322.89 / $12,049.93 / $16,415.31	Facility		$10,322.89	$12,049.93	$16,415.31
BCBS Facility/Professional Professional Modifier Low / Median / High Price $584.92 / $3,127.93 / $4,472.95	Professional		$584.92	$3,127.93	$4,472.95
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,891.77 / $2,504.08 / $6,521.73	Professional		$1,891.77	$2,504.08	$6,521.73
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $2,800.00 / $2,921.88 / $2,921.88	Facility		$2,800.00	$2,921.88	$2,921.88
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $2,427.42 / $2,921.88 / $4,074.39	Professional		$2,427.42	$2,921.88	$4,074.39
Molina Facility/Professional Professional Modifier Low / Median / High Price $2,094.39 / $2,671.50 / $3,865.94	Professional		$2,094.39	$2,671.50	$3,865.94
United Facility/Professional Facility Modifier Low / Median / High Price $1,906.00 / $4,645.00 / $6,327.00	Facility		$1,906.00	$4,645.00	$6,327.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,935.25 / $2,633.87 / $3,794.55	Professional		$1,935.25	$2,633.87	$3,794.55