Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,777.38 / $5,757.00 / $16,360.37	Facility		$1,777.38	$5,757.00	$16,360.37
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,318.93 / $1,576.12 / $2,134.01	Professional		$1,318.93	$1,576.12	$2,134.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $207.64 / $1,297.72 / $2,248.53	Professional		$207.64	$1,297.72	$2,248.53
BCBS Facility/Professional Facility Modifier Low / Median / High Price $7,460.59 / $8,695.58 / $11,781.14	Facility		$7,460.59	$8,695.58	$11,781.14
BCBS Facility/Professional Professional Modifier Low / Median / High Price $332.45 / $1,564.46 / $2,933.36	Professional		$332.45	$1,564.46	$2,933.36
Cigna Facility/Professional Professional Modifier Low / Median / High Price $1,156.33 / $1,574.10 / $2,389.67	Professional		$1,156.33	$1,574.10	$2,389.67
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,747.71 / $5,757.00 / $22,126.30	Facility		$1,747.71	$5,757.00	$22,126.30
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,361.75 / $1,747.71 / $2,305.30	Professional		$1,361.75	$1,747.71	$2,305.30
Molina Facility/Professional Professional Modifier Low / Median / High Price $136.71 / $891.95 / $1,427.64	Professional		$136.71	$891.95	$1,427.64
United Facility/Professional Facility Modifier Low / Median / High Price $3,100.00 / $8,030.00 / $12,726.00	Facility		$3,100.00	$8,030.00	$12,726.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,450.28 / $1,787.74 / $2,350.52	Professional		$1,450.28	$1,787.74	$2,350.52