Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $2,114.67 / $4,933.00 / $4,933.00	Facility		$2,114.67	$4,933.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,469.25 / $2,114.67 / $2,114.67	Professional		$1,469.25	$2,114.67	$2,114.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $2,356.64 / $2,356.64 / $2,356.64	Professional		$2,356.64	$2,356.64	$2,356.64
BCBS Facility/Professional Facility Modifier Low / Median / High Price $9,099.46 / $10,621.82 / $14,469.84	Facility		$9,099.46	$10,621.82	$14,469.84
BCBS Facility/Professional Professional Modifier Low / Median / High Price $457.38 / $1,579.76 / $3,610.87	Professional		$457.38	$1,579.76	$3,610.87
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,281.70 / $2,124.89 / $3,260.82	Professional		$1,281.70	$2,124.89	$3,260.82
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,680.64 / $4,933.00 / $4,933.00	Facility		$1,680.64	$4,933.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,680.64 / $1,868.79 / $2,579.06	Professional		$1,680.64	$1,868.79	$2,579.06
Molina Facility/Professional Professional Modifier Low / Median / High Price $164.25 / $1,396.25 / $2,126.78	Professional		$164.25	$1,396.25	$2,126.78
United Facility/Professional Facility Modifier Low / Median / High Price $1,820.00 / $4,056.00 / $6,036.00	Facility		$1,820.00	$4,056.00	$6,036.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,809.29 / $2,121.59 / $3,000.37	Professional		$1,809.29	$2,121.59	$3,000.37