Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $420.62 / $712.00 / $4,933.00	Facility		$420.62	$712.00	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $305.25 / $436.20 / $648.40	Professional		$305.25	$436.20	$648.40
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $206.11 / $206.11 / $206.11	Professional		$206.11	$206.11	$206.11
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,865.85 / $2,174.71 / $2,946.39	Facility		$1,865.85	$2,174.71	$2,946.39
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $999.79 / $1,534.74 / $1,997.73	Facility	50	$999.79	$1,534.74	$1,997.73
BCBS Facility/Professional Professional Modifier Low / Median / High Price $93.11 / $514.51 / $817.56	Professional		$93.11	$514.51	$817.56
Cigna Facility/Professional Professional Modifier Low / Median / High Price $250.07 / $380.66 / $783.28	Professional		$250.07	$380.66	$783.28
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $390.22 / $4,112.00 / $4,933.00	Facility		$390.22	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $390.22 / $437.04 / $662.54	Professional		$390.22	$437.04	$662.54
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.77 / $316.59 / $510.57	Professional		$33.77	$316.59	$510.57
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 $404.71 / $534.66 / $724.90	Professional		$404.71	$534.66	$724.90