Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $265.51 / $4,933.00 / $5,757.00	Facility		$265.51	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $190.43 / $263.30 / $343.93	Professional		$190.43	$263.30	$343.93
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $262.49 / $262.49 / $319.48	Professional		$262.49	$262.49	$319.48
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,738.41 / $2,029.25 / $2,764.40	Facility		$1,738.41	$2,029.25	$2,764.40
BCBS Facility/Professional Professional Modifier Low / Median / High Price $62.30 / $250.92 / $371.11	Professional		$62.30	$250.92	$371.11
Cigna Facility/Professional Professional Modifier Low / Median / High Price $201.14 / $260.50 / $376.67	Professional		$201.14	$260.50	$376.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $231.60 / $4,933.00 / $5,757.00	Facility		$231.60	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $229.28 / $263.30 / $381.66	Professional		$229.28	$263.30	$381.66
Molina Facility/Professional Professional Modifier Low / Median / High Price $181.39 / $242.98 / $354.99	Professional		$181.39	$242.98	$354.99
United Facility/Professional Facility Modifier Low / Median / High Price $2,248.00 / $5,202.00 / $7,355.00	Facility		$2,248.00	$5,202.00	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $239.28 / $281.00 / $392.65	Professional		$239.28	$281.00	$392.65