Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,327.71 / $4,933.00 / $4,933.00	Facility		$1,327.71	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $928.11 / $1,327.71 / $1,327.71	Professional		$928.11	$1,327.71	$1,327.71
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $621.87 / $621.87 / $621.87	Professional		$621.87	$621.87	$621.87
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,770.68 / $5,568.82 / $7,586.26	Facility		$4,770.68	$5,568.82	$7,586.26
BCBS Facility/Professional Professional Modifier Low / Median / High Price $273.20 / $1,158.92 / $2,008.81	Professional		$273.20	$1,158.92	$2,008.81
Cigna Facility/Professional Professional Modifier Low / Median / High Price $831.47 / $1,298.08 / $2,066.19	Professional		$831.47	$1,298.08	$2,066.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,054.92 / $4,933.00 / $4,933.00	Facility		$1,054.92	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,010.12 / $1,097.67 / $1,536.73	Professional		$1,010.12	$1,097.67	$1,536.73
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $881.15 / $1,332.10	Professional		$65.66	$881.15	$1,332.10
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 $1,115.96 / $1,220.81 / $1,674.12	Professional		$1,115.96	$1,220.81	$1,674.12