Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $811.78 / $988.36 / $4,933.00	Facility		$811.78	$988.36	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $553.50 / $811.78 / $1,037.77	Professional		$553.50	$811.78	$1,037.77
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $616.11 / $616.11 / $616.11	Professional		$616.11	$616.11	$616.11
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 $158.38 / $620.17 / $1,467.46	Professional		$158.38	$620.17	$1,467.46
Cigna Facility/Professional Professional Modifier Low / Median / High Price $495.55 / $682.71 / $1,187.19	Professional		$495.55	$682.71	$1,187.19
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $734.34 / $1,037.77 / $4,933.00	Facility		$734.34	$1,037.77	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $666.59 / $811.78 / $1,173.86	Professional		$666.59	$811.78	$1,173.86
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.25 / $495.41 / $817.54	Professional		$68.25	$495.41	$817.54
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 $727.81 / $845.32 / $1,153.28	Professional		$727.81	$845.32	$1,153.28