Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $714.88 / $1,050.26 / $5,075.68	Facility		$714.88	$1,050.26	$5,075.68
Aetna Facility/Professional Professional Modifier Low / Median / High Price $486.68 / $714.88 / $1,000.25	Professional		$486.68	$714.88	$1,000.25
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $722.01 / $722.01 / $722.01	Professional		$722.01	$722.01	$722.01
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,865.85 / $2,174.71 / $2,946.39	Facility		$1,865.85	$2,174.71	$2,946.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $139.86 / $547.59 / $1,295.70	Professional		$139.86	$547.59	$1,295.70
Cigna Facility/Professional Professional Modifier Low / Median / High Price $449.41 / $650.63 / $1,002.77	Professional		$449.41	$650.63	$1,002.77
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $757.25 / $2,877.00 / $5,075.68	Facility		$757.25	$2,877.00	$5,075.68
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $564.52 / $757.25 / $1,050.26	Professional		$564.52	$757.25	$1,050.26
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $493.58 / $816.38	Professional		$67.99	$493.58	$816.38
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 $737.18 / $873.57 / $1,258.59	Professional		$737.18	$873.57	$1,258.59