Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,152.33 / $4,933.00 / $17,129.00	Facility		$1,152.33	$4,933.00	$17,129.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $750.87 / $907.47 / $1,628.74	Professional		$750.87	$907.47	$1,628.74
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $875.07 / $1,181.33 / $1,519.65	Professional		$875.07	$1,181.33	$1,519.65
BCBS Facility/Professional Facility Modifier Low / Median / High Price $4,656.37 / $5,427.16 / $7,352.94	Facility		$4,656.37	$5,427.16	$7,352.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $213.37 / $1,255.08 / $2,204.27	Professional		$213.37	$1,255.08	$2,204.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $691.09 / $925.55 / $1,723.66	Professional		$691.09	$925.55	$1,723.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $958.18 / $4,933.00 / $17,129.00	Facility		$958.18	$4,933.00	$17,129.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $824.98 / $977.82 / $1,565.34	Professional		$824.98	$977.82	$1,565.34
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $602.16 / $966.34	Professional		$68.38	$602.16	$966.34
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $8,030.00 / $12,726.00	Facility		$2,500.00	$8,030.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $918.12 / $1,088.69 / $1,455.88	Professional		$918.12	$1,088.69	$1,455.88