Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $168.45 / $2,056.00 / $4,933.00	Facility		$168.45	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $130.15 / $184.39 / $261.56	Professional		$130.15	$184.39	$261.56
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $189.92 / $189.92 / $189.92	Professional		$189.92	$189.92	$189.92
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,974.50 / $2,301.35 / $3,117.97	Facility		$1,974.50	$2,301.35	$3,117.97
BCBS Facility/Professional Professional Modifier Low / Median / High Price $33.18 / $195.21 / $310.51	Professional		$33.18	$195.21	$310.51
Cigna Facility/Professional Professional Modifier Low / Median / High Price $109.58 / $165.21 / $283.11	Professional		$109.58	$165.21	$283.11
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $175.23 / $2,056.00 / $4,933.00	Facility		$175.23	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $168.45 / $189.92 / $279.98	Professional		$168.45	$189.92	$279.98
Molina Facility/Professional Professional Modifier Low / Median / High Price $123.27 / $170.64 / $238.37	Professional		$123.27	$170.64	$238.37
United Facility/Professional Facility Modifier Low / Median / High Price $1,050.00 / $3,569.00 / $6,740.00	Facility		$1,050.00	$3,569.00	$6,740.00
United Facility/Professional Professional Modifier Low / Median / High Price $185.39 / $223.68 / $295.35	Professional		$185.39	$223.68	$295.35