Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,707.56 / $4,933.00 / $5,757.00	Facility		$1,707.56	$4,933.00	$5,757.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,236.76 / $1,707.56 / $1,770.80	Professional		$1,236.76	$1,707.56	$1,770.80
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,298.29 / $1,298.29 / $1,298.29	Professional		$1,298.29	$1,298.29	$1,298.29
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,748.81 / $5,534.91 / $7,498.92	Facility		$4,748.81	$5,534.91	$7,498.92
BCBS Facility/Professional Professional Modifier Low / Median / High Price $333.04 / $1,567.25 / $2,938.59	Professional		$333.04	$1,567.25	$2,938.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,628.10 / $1,628.10 / $1,723.66	Professional		$1,628.10	$1,628.10	$1,723.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,263.49 / $4,933.00 / $5,757.00	Facility		$1,263.49	$4,933.00	$5,757.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,263.49 / $1,450.60 / $2,119.60	Professional		$1,263.49	$1,450.60	$2,119.60
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $923.75 / $1,447.04	Professional		$136.71	$923.75	$1,447.04
United Facility/Professional Facility Modifier Low / Median / High Price $4,044.30 / $7,800.00 / $10,652.00	Facility		$4,044.30	$7,800.00	$10,652.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,316.09 / $1,563.43 / $2,007.35	Professional		$1,316.09	$1,563.43	$2,007.35