Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $611.63 / $853.41 / $4,933.00	Facility		$611.63	$853.41	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $414.89 / $611.63 / $853.41	Professional		$414.89	$611.63	$853.41
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,093.38 / $1,093.38 / $1,093.38	Professional		$1,093.38	$1,093.38	$1,093.38
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,385.86 / $2,780.80 / $3,767.54	Facility		$2,385.86	$2,780.80	$3,767.54
BCBS Facility/Professional Professional Modifier Low / Median / High Price $120.21 / $464.06 / $1,060.70	Professional		$120.21	$464.06	$1,060.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $385.72 / $580.86 / $950.80	Professional		$385.72	$580.86	$950.80
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $637.72 / $2,877.00 / $4,933.00	Facility		$637.72	$2,877.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $510.93 / $637.72 / $889.19	Professional		$510.93	$637.72	$889.19
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $418.15 / $665.69	Professional		$67.94	$418.15	$665.69
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $5,708.00 / $8,884.00	Facility		$1,450.00	$5,708.00	$8,884.00
United Facility/Professional Professional Modifier Low / Median / High Price $638.12 / $729.77 / $1,011.86	Professional		$638.12	$729.77	$1,011.86