Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $661.96 / $3,390.20 / $6,274.58	Facility		$661.96	$3,390.20	$6,274.58
Aetna Facility/Professional Professional Modifier Low / Median / High Price $415.20 / $552.75 / $1,180.69	Professional		$415.20	$552.75	$1,180.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $729.13 / $980.04 / $980.04	Professional		$729.13	$980.04	$980.04
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,911.81 / $2,243.90 / $3,040.13	Facility		$1,911.81	$2,243.90	$3,040.13
BCBS Facility/Professional Professional Modifier Low / Median / High Price $131.30 / $772.37 / $1,239.65	Professional		$131.30	$772.37	$1,239.65
Cigna Facility/Professional Professional Modifier Low / Median / High Price $377.08 / $576.84 / $1,165.47	Professional		$377.08	$576.84	$1,165.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $505.06 / $2,877.00 / $7,607.85	Facility		$505.06	$2,877.00	$7,607.85
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $447.56 / $573.61 / $961.88	Professional		$447.56	$573.61	$961.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $431.36 / $641.56	Professional		$65.66	$431.36	$641.56
United Facility/Professional Facility Modifier Low / Median / High Price $1,423.48 / $5,168.33 / $7,355.00	Facility		$1,423.48	$5,168.33	$7,355.00
United Facility/Professional Professional Modifier Low / Median / High Price $481.53 / $577.61 / $814.41	Professional		$481.53	$577.61	$814.41