Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $773.82 / $802.48 / $4,933.00	Facility		$773.82	$802.48	$4,933.00
Aetna Facility/Professional Professional Modifier Low / Median / High Price $478.70 / $597.08 / $802.48	Professional		$478.70	$597.08	$802.48
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $591.10 / $591.10 / $591.10	Professional		$591.10	$591.10	$591.10
BCBS Facility/Professional Facility Modifier Low / Median / High Price $1,999.17 / $2,330.10 / $3,156.92	Facility		$1,999.17	$2,330.10	$3,156.92
BCBS Facility/Professional Facility Modifier 50 Low / Median / High Price $1,071.24 / $1,623.49 / $2,140.48	Facility	50	$1,071.24	$1,623.49	$2,140.48
BCBS Facility/Professional Professional Modifier Low / Median / High Price $151.79 / $892.88 / $1,339.32	Professional		$151.79	$892.88	$1,339.32
BCBS Facility/Professional Professional Modifier 50 Low / Median / High Price $1,432.43 / $1,432.43 / $1,432.43	Professional	50	$1,432.43	$1,432.43	$1,432.43
Cigna Facility/Professional Professional Modifier Low / Median / High Price $462.96 / $593.50 / $1,084.66	Professional		$462.96	$593.50	$1,084.66
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $627.88 / $802.48 / $4,933.00	Facility		$627.88	$802.48	$4,933.00
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $549.99 / $659.98 / $858.02	Professional		$549.99	$659.98	$858.02
Molina Facility/Professional Professional Modifier Low / Median / High Price $68.34 / $427.07 / $671.51	Professional		$68.34	$427.07	$671.51
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 $594.48 / $701.60 / $972.81	Professional		$594.48	$701.60	$972.81