Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,838.00 / $2,491.00	Facility		$300.00	$1,838.00	$2,491.00
Ambetter Facility/Professional Facility Modifier Low / Median / High Price $325.00 / $325.00 / $325.00	Facility		$325.00	$325.00	$325.00
BCBS Facility/Professional Facility Modifier Low / Median / High Price $544.22 / $1,350.00 / $27,134.00	Facility		$544.22	$1,350.00	$27,134.00
Cigna Facility/Professional Facility Modifier Low / Median / High Price $216.00 / $300.00 / $475.00	Facility		$216.00	$300.00	$475.00
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $334.00 / $2,457.58	Facility		$300.00	$334.00	$2,457.58
Molina Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $310.00 / $320.00	Facility		$300.00	$310.00	$320.00
United Facility/Professional Facility Modifier Low / Median / High Price $500.00 / $1,444.00 / $1,724.00	Facility		$500.00	$1,444.00	$1,724.00