Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $895.04 / $2,877.00 / $4,933.00	Facility		$895.04	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $601.62 / $888.98 / $929.46	Professional		$601.62	$888.98	$929.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $367.08 / $367.08 / $367.08	Professional		$367.08	$367.08	$367.08
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,953.75 / $3,466.84 / $4,697.01	Facility		$2,953.75	$3,466.84	$4,697.01
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.54 / $1,110.38 / $1,681.59	Professional		$213.54	$1,110.38	$1,681.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $514.64 / $818.66 / $1,591.24	Professional		$514.64	$818.66	$1,591.24
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $707.44 / $2,877.00 / $4,933.00	Facility		$707.44	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $700.65 / $800.74 / $1,123.24	Professional		$700.65	$800.74	$1,123.24
Molina Facility/Professional Professional Modifier Low / Median / High Price $65.66 / $584.40 / $884.17	Professional		$65.66	$584.40	$884.17
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,780.00 / $9,202.00	Facility		$2,500.00	$7,780.00	$9,202.00
United Facility/Professional Professional Modifier Low / Median / High Price $703.44 / $816.21 / $1,158.03	Professional		$703.44	$816.21	$1,158.03