Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $555.21 / $696.49 / $4,933.00	Facility		$555.21	$696.49	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $402.92 / $555.21 / $852.46	Professional		$402.92	$555.21	$852.46
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $924.18 / $924.18 / $924.18	Professional		$924.18	$924.18	$924.18
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,932.50 / $2,252.40 / $3,051.64	Facility		$1,932.50	$2,252.40	$3,051.64
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,212.90 / $1,569.35 / $1,989.94	Facility	50	$1,212.90	$1,569.35	$1,989.94
BCBS Facility/Professional Professional Modifier Low / Median / High Price $108.87 / $682.03 / $1,008.63	Professional		$108.87	$682.03	$1,008.63
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,027.38 / $1,027.38 / $1,282.23	Professional	50	$1,027.38	$1,027.38	$1,282.23
Cigna Facility/Professional Professional Modifier Low / Median / High Price $368.20 / $495.69 / $783.28	Professional		$368.20	$495.69	$783.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $504.28 / $555.21 / $6,906.00	Facility		$504.28	$555.21	$6,906.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $487.49 / $575.78 / $831.63	Professional		$487.49	$575.78	$831.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $67.94 / $347.14 / $552.30	Professional		$67.94	$347.14	$552.30
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 $500.94 / $604.72 / $786.08	Professional		$500.94	$604.72	$786.08