Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $777.98 / $2,056.00 / $4,933.00	Facility		$777.98	$2,056.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $453.61 / $603.98 / $969.48	Professional		$453.61	$603.98	$969.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $587.44 / $587.44 / $587.44	Professional		$587.44	$587.44	$587.44
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,632.67 / $3,068.46 / $4,157.28	Facility		$2,632.67	$3,068.46	$4,157.28
BCBS Facility/Professional Professional Modifier Low / Median / High Price $158.94 / $890.39 / $1,335.59	Professional		$158.94	$890.39	$1,335.59
Cigna Facility/Professional Professional Modifier Low / Median / High Price $443.92 / $619.97 / $1,099.94	Professional		$443.92	$619.97	$1,099.94
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $575.69 / $2,056.00 / $4,933.00	Facility		$575.69	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $546.41 / $646.41 / $943.36	Professional		$546.41	$646.41	$943.36
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.99 / $391.10 / $654.84	Professional		$67.99	$391.10	$654.84
United Facility/Professional Facility Modifier Low / Median / High Price $1,787.69 / $5,202.00 / $8,339.00	Facility		$1,787.69	$5,202.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $580.99 / $664.95 / $912.37	Professional		$580.99	$664.95	$912.37