Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,348.48 / $2,877.00 / $4,933.00	Facility		$1,348.48	$2,877.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $907.18 / $1,242.57 / $1,400.35	Professional		$907.18	$1,242.57	$1,400.35
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $548.15 / $548.15 / $548.15	Professional		$548.15	$548.15	$548.15
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,414.54 / $5,181.37 / $7,019.93	Facility		$4,414.54	$5,181.37	$7,019.93
BCBS Facility/Professional Professional Modifier Low / Median / High Price $299.16 / $1,305.22 / $1,819.40	Professional		$299.16	$1,305.22	$1,819.40
Cigna Facility/Professional Professional Modifier Low / Median / High Price $769.67 / $1,256.93 / $2,399.21	Professional		$769.67	$1,256.93	$2,399.21
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,092.06 / $2,877.00 / $4,933.00	Facility		$1,092.06	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,034.78 / $1,194.66 / $1,644.61	Professional		$1,034.78	$1,194.66	$1,644.61
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.86 / $793.60 / $1,265.49	Professional		$102.86	$793.60	$1,265.49
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,702.00 / $10,652.00	Facility		$3,500.00	$8,702.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,054.63 / $1,233.44 / $1,743.49	Professional		$1,054.63	$1,233.44	$1,743.49