Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $842.63 / $1,040.67 / $4,933.00	Facility		$842.63	$1,040.67	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $571.97 / $758.85 / $1,040.67	Professional		$571.97	$758.85	$1,040.67
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $1,325.55 / $1,325.55 / $1,325.55	Professional		$1,325.55	$1,325.55	$1,325.55
BCBS Facility/Professional Facility Modifier Low / Median / High Price $2,065.78 / $2,407.73 / $3,262.10	Facility		$2,065.78	$2,407.73	$3,262.10
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,106.93 / $1,510.41 / $2,096.98	Facility	50	$1,106.93	$1,510.41	$2,096.98
BCBS Facility/Professional Professional Modifier Low / Median / High Price $172.62 / $967.08 / $1,613.53	Professional		$172.62	$967.08	$1,613.53
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,551.47 / $1,551.47 / $1,842.27	Professional	50	$1,551.47	$1,551.47	$1,842.27
Cigna Facility/Professional Professional Modifier Low / Median / High Price $526.07 / $681.73 / $1,176.46	Professional		$526.07	$681.73	$1,176.46
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $786.39 / $4,112.00 / $4,933.00	Facility		$786.39	$4,112.00	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $629.16 / $842.63 / $1,102.63	Professional		$629.16	$842.63	$1,102.63
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.38 / $531.08 / $854.74	Professional		$68.38	$531.08	$854.74
United Facility/Professional Facility Modifier Low / Median / High Price $1,450.00 / $4,985.00 / $8,339.00	Facility		$1,450.00	$4,985.00	$8,339.00
United Facility/Professional Professional Modifier Low / Median / High Price $739.16 / $894.32 / $1,229.05	Professional		$739.16	$894.32	$1,229.05