Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $568.91 / $2,718.99 / $4,933.00	Facility		$568.91	$2,718.99	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $428.75 / $1,737.15 / $2,819.69	Professional		$428.75	$1,737.15	$2,819.69
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $3,613.95 / $3,613.95 / $3,613.95	Professional		$3,613.95	$3,613.95	$3,613.95
BCBS Facility/Professional Facility Modifier Low / Median / High Price $3,015.19 / $4,121.50 / $9,504.50	Facility		$3,015.19	$4,121.50	$9,504.50
BCBS Facility/Professional Professional Modifier Low / Median / High Price $125.18 / $691.77 / $1,334.14	Professional		$125.18	$691.77	$1,334.14
Cigna Facility/Professional Professional Modifier Low / Median / High Price $370.57 / $1,582.96 / $2,806.39	Professional		$370.57	$1,582.96	$2,806.39
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $568.91 / $2,014.01 / $6,906.00	Facility		$568.91	$2,014.01	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $568.91 / $2,014.01 / $2,819.69	Professional		$568.91	$2,014.01	$2,819.69
Molina Facility/Professional Professional Modifier Low / Median / High Price $202.90 / $1,341.59 / $2,199.54	Professional		$202.90	$1,341.59	$2,199.54
United Facility/Professional Facility Modifier Low / Median / High Price $3,500.00 / $8,030.00 / $12,726.00	Facility		$3,500.00	$8,030.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $2,135.35 / $2,644.28 / $3,522.01	Professional		$2,135.35	$2,644.28	$3,522.01