Insurance Carrier	Facility/Professional	Modifier	Low Price	Median Price	High Price
Aetna Facility/Professional Facility Modifier Low / Median / High Price $305.56 / $2,056.00 / $4,933.00	Facility		$305.56	$2,056.00	$4,933.00
Aetna Facility/Professional Facility Modifier 54 Low / Median / High Price $229.17 / $231.89 / $240.80	Facility	54	$229.17	$231.89	$240.80
Aetna Facility/Professional Professional Modifier Low / Median / High Price $187.59 / $243.73 / $385.01	Professional		$187.59	$243.73	$385.01
Ambetter Facility/Professional Professional Modifier Low / Median / High Price $339.90 / $339.90 / $339.90	Professional		$339.90	$339.90	$339.90
BCBS Facility/Professional Facility Modifier Low / Median / High Price $254.44 / $298.05 / $419.33	Facility		$254.44	$298.05	$419.33
BCBS Facility/Professional Professional Modifier Low / Median / High Price $63.41 / $391.64 / $622.32	Professional		$63.41	$391.64	$622.32
Cigna Facility/Professional Professional Modifier Low / Median / High Price $181.95 / $256.54 / $504.26	Professional		$181.95	$256.54	$504.26
Health Alliance Plan Facility/Professional Facility Modifier Low / Median / High Price $223.31 / $2,056.00 / $4,933.00	Facility		$223.31	$2,056.00	$4,933.00
Health Alliance Plan Facility/Professional Facility Modifier 54 Low / Median / High Price $229.17 / $229.17 / $231.89	Facility	54	$229.17	$229.17	$231.89
Health Alliance Plan Facility/Professional Professional Modifier Low / Median / High Price $213.14 / $265.89 / $399.82	Professional		$213.14	$265.89	$399.82
Molina Facility/Professional Professional Modifier Low / Median / High Price $32.13 / $184.05 / $281.49	Professional		$32.13	$184.05	$281.49
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 $223.31 / $264.79 / $359.73	Professional		$223.31	$264.79	$359.73