Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,527.53 / $5,483.00 / $13,039.17	Facility		$1,527.53	$5,483.00	$13,039.17
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,151.32 / $1,354.55 / $2,773.20	Professional		$1,151.32	$1,354.55	$2,773.20
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,030.69 / $1,116.42 / $1,932.88	Professional		$1,030.69	$1,116.42	$1,932.88
BCBS Facility/Professional Facility Modifier Low / Median / High Price $5,060.76 / $5,898.49 / $7,991.52	Facility		$5,060.76	$5,898.49	$7,991.52
BCBS Facility/Professional Professional Modifier Low / Median / High Price $285.97 / $1,682.18 / $2,523.27	Professional		$285.97	$1,682.18	$2,523.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $886.16 / $1,215.68 / $2,053.91	Professional		$886.16	$1,215.68	$2,053.91
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,518.32 / $5,483.00 / $16,434.41	Facility		$1,518.32	$5,483.00	$16,434.41
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,181.34 / $1,518.32 / $2,292.00	Professional		$1,181.34	$1,518.32	$2,292.00
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $761.90 / $1,222.09	Professional		$136.71	$761.90	$1,222.09
United Facility/Professional Facility Modifier Low / Median / High Price $3,100.00 / $7,935.00 / $12,726.00	Facility		$3,100.00	$7,935.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,246.44 / $1,526.19 / $1,992.05	Professional		$1,246.44	$1,526.19	$1,992.05