Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $602.05 / $979.00 / $4,933.00	Facility		$602.05	$979.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $339.58 / $459.89 / $624.36	Professional		$339.58	$459.89	$624.36
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $208.12 / $208.12 / $208.12	Professional		$208.12	$208.12	$208.12
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 $122.31 / $650.96 / $1,027.83	Professional		$122.31	$650.96	$1,027.83
Cigna Facility/Professional Professional Modifier Low / Median / High Price $304.68 / $448.61 / $908.07	Professional		$304.68	$448.61	$908.07
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $393.24 / $979.00 / $4,933.00	Facility		$393.24	$979.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $393.24 / $478.76 / $685.17	Professional		$393.24	$478.76	$685.17
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $316.32 / $483.58	Professional		$33.77	$316.32	$483.58
United Facility/Professional Facility Modifier Low / Median / High Price $464.00 / $1,209.00 / $2,449.00	Facility		$464.00	$1,209.00	$2,449.00
United Facility/Professional Professional Modifier Low / Median / High Price $399.57 / $483.53 / $629.59	Professional		$399.57	$483.53	$629.59