Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $379.77 / $511.06 / $4,933.00	Facility		$379.77	$511.06	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $284.83 / $295.79 / $308.91	Facility	54	$284.83	$295.79	$308.91
Aetna Facility/Professional Professional Modifier Low / Median / High Price $237.75 / $301.69 / $471.79	Professional		$237.75	$301.69	$471.79
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $326.31 / $326.31 / $326.31	Professional		$326.31	$326.31	$326.31
BCBS Facility/Professional Facility Modifier Low / Median / High Price $229.78 / $269.69 / $365.39	Facility		$229.78	$269.69	$365.39
BCBS Facility/Professional Professional Modifier Low / Median / High Price $77.72 / $328.58 / $511.30	Professional		$77.72	$328.58	$511.30
Cigna Facility/Professional Professional Modifier Low / Median / High Price $228.28 / $331.68 / $628.47	Professional		$228.28	$331.68	$628.47
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $216.97 / $511.06 / $4,933.00	Facility		$216.97	$511.06	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $284.83 / $284.83 / $297.47	Facility	54	$284.83	$284.83	$297.47
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $274.26 / $357.17 / $517.32	Professional		$274.26	$357.17	$517.32
Molina Facility/Professional Professional Modifier Low / Median / High Price $33.96 / $225.31 / $360.34	Professional		$33.96	$225.31	$360.34
United Facility/Professional Facility Modifier Low / Median / High Price $300.00 / $1,418.00 / $2,029.00	Facility		$300.00	$1,418.00	$2,029.00
United Facility/Professional Professional Modifier Low / Median / High Price $287.64 / $358.47 / $502.10	Professional		$287.64	$358.47	$502.10