Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $507.78 / $1,679.09 / $2,274.48	Facility		$507.78	$1,679.09	$2,274.48
Aetna Facility/Professional Professional Modifier Low / Median / High Price $468.91 / $507.78 / $507.78	Professional		$468.91	$507.78	$507.78
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $200.00 / $200.00 / $200.00	Professional		$200.00	$200.00	$200.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $954.55 / $1,464.14 / $3,637.28	Facility		$954.55	$1,464.14	$3,637.28
Cigna Facility/Professional Facility Modifier Low / Median / High Price $64.00 / $64.00 / $64.00	Facility		$64.00	$64.00	$64.00
Cigna Facility/Professional Professional Modifier Low / Median / High Price $489.34 / $489.34 / $489.34	Professional		$489.34	$489.34	$489.34
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $578.54 / $1,673.65 / $2,241.48	Facility		$578.54	$1,673.65	$2,241.48
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $507.78 / $507.78 / $744.10	Professional		$507.78	$507.78	$744.10
Molina Facility/Professional Professional Modifier Low / Median / High Price $30.00 / $30.00 / $100.00	Professional		$30.00	$30.00	$100.00