Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $594.44 / $757.81 / $4,933.00	Facility		$594.44	$757.81	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $440.53 / $594.44 / $785.88	Professional		$440.53	$594.44	$785.88
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,004.47 / $1,004.47 / $1,004.47	Professional		$1,004.47	$1,004.47	$1,004.47
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,634.69 / $3,070.82 / $4,160.47	Facility		$2,634.69	$3,070.82	$4,160.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $115.64 / $544.19 / $1,071.39	Professional		$115.64	$544.19	$1,071.39
Cigna Facility/Professional Professional Modifier Low / Median / High Price $365.33 / $479.02 / $988.44	Professional		$365.33	$479.02	$988.44
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $564.90 / $594.44 / $6,906.00	Facility		$564.90	$594.44	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $564.90 / $616.45 / $785.88	Professional		$564.90	$616.45	$785.88
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $370.07 / $649.38	Professional		$67.99	$370.07	$649.38
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $547.98 / $664.77 / $921.74	Professional		$547.98	$664.77	$921.74