Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $1,646.12 / $1,707.09 / $6,906.00	Facility		$1,646.12	$1,707.09	$6,906.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $1,055.19 / $1,538.18 / $1,707.09	Professional		$1,055.19	$1,538.18	$1,707.09
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,229.41 / $1,229.41 / $1,229.41	Professional		$1,229.41	$1,229.41	$1,229.41
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,634.69 / $3,070.82 / $4,160.47	Facility		$2,634.69	$3,070.82	$4,160.47
BCBS Facility/Professional Professional Modifier Low / Median / High Price $1,107.60 / $1,865.44 / $2,798.16	Professional		$1,107.60	$1,865.44	$2,798.16
Cigna Facility/Professional Professional Modifier Low / Median / High Price $914.97 / $1,268.08 / $2,475.50	Professional		$914.97	$1,268.08	$2,475.50
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $1,318.60 / $1,646.12 / $6,906.00	Facility		$1,318.60	$1,646.12	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $1,158.35 / $1,371.90 / $1,783.89	Professional		$1,158.35	$1,371.90	$1,783.89
Molina Facility/Professional Professional Modifier Low / Median / High Price $102.73 / $865.15 / $1,375.52	Professional		$102.73	$865.15	$1,375.52
United Facility/Professional Facility Modifier Low / Median / High Price $2,500.00 / $7,500.00 / $10,556.00	Facility		$2,500.00	$7,500.00	$10,556.00
United Facility/Professional Professional Modifier Low / Median / High Price $1,185.43 / $1,455.08 / $1,895.32	Professional		$1,185.43	$1,455.08	$1,895.32